Individual
DAYLE VALERIE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-6428
Mailing address
2321 E 70TH PL, UNIT 009, CHICAGO, IL 60649-2263
(773) 667-6071
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036120918
IL
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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