Individual
RYAN KRISTOPHER DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.C.
Contact information
Practice address
700 N LAKE ST, #102, MUNDELEIN, IL 60060-1357
(847) 949-0063
Mailing address
1537 N ARLINGTON HEIGHTS RD, UNIT B, ARLINGTON HEIGHTS, IL 60004-3971
(815) 793-4708
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001118
IL
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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