Individual
DR. HENRY GORDON DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 W HIGGINS RD, SUITE 640, HOFFMAN ESTATES, IL 60169-7220
(847) 884-0906
(847) 884-0994
Mailing address
2500 W HIGGINS RD, 640, HOFFMAN ESTATES, IL 60169-7220
(847) 884-0906
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036061440
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31602229
BCBS
IL
Enumeration date
12/30/2005
Last updated
05/10/2010
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