Individual
DR. JOHN DAVIES
Active
Individual
DR. JOHN DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036053919
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053919
—
IL
05
—
036053919002
—
IA
05
—
0579458
—
IA
01
—
110112638
RR MEDICARE
—
01
—
143158
IHS
—
05
—
1437123064
—
IA
05
—
1579458
—
IA
01
—
94027
BCWELLMARK
—
01
—
IL0182
JOHN DEERE
—
01
—
P01122700
RR MEDICARE
IL
Enumeration date
02/13/2006
Last updated
02/05/2015
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