Individual
MR. RAOUL JEFFREY DAVION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8012 S CRANDON AVE, CHICAGO, IL 60617-1124
(773) 356-5415
(773) 356-5415
Mailing address
1546 W JACKSON BLVD, CHICAGO, IL 60607-5304
(773) 356-5415
(773) 356-5415
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036043384
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036043384
—
IL
Enumeration date
07/25/2006
Last updated
10/06/2011
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