Organization
ARTHUR I DAVIDA MD PC
Active
Other names
Doc's Shop
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR I DAVIDA MD (OWNER)
(630) 893-8050
Entity
Organization
Contact information
Practice address
105 3RD ST, BLOOMINGDALE, IL 60108-1212
(630) 893-8050
(630) 893-8154
Mailing address
105 3RD ST, BLOOMINGDALE, IL 60108-1212
(630) 893-8050
(630) 893-8154
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
036070839
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070839
—
IL
Enumeration date
10/26/2011
Last updated
10/26/2011
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