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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386600039 | NPPES |
| Illinois | MEDICAID | 36066316 | |
| Illinois | Other | 526620 | |
| Illinois | Other | 344390 |
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