Davalle, Michael J

Davalle, Michael J is an individual health care provider with primary practice located at 2650 Warrenville Rd Ste 280, Downers Grove IL 60515. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Davalle, Michael J can be contacted via phone (630) 324-7916.

Contact Information

Primary practice address
2650 Warrenville Rd Ste 280 Downers Grove IL 60515
Phone: (630) 324-7916
Fax: (630) 324-7946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 036066312 Illinois
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01055379A Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01055379A Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036066312 Illinois

Profile Details

NPI number 1386600039
LBN Legal business name Davalle, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Feb 14th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386600039 NPPES
Illinois MEDICAID 36066316
Illinois Other 526620
Illinois Other 344390

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