Davidson, David Jeremy

Davidson, David Jeremy is an sole proprietor health care provider with primary practice located at 2151 Waukegan Rd Ste 100 , Bannockburn IL 60015-1885. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Davidson, David Jeremy can be contacted via phone (847) 663-8410.

Contact Information

Primary practice address
2151 Waukegan Rd Ste 100 Bannockburn IL 60015-1885
Phone: (847) 663-8410
Fax: (847) 267-1429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036125260 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036125260 Illinois

Profile Details

NPI number 1063679116
LBN Legal business name Davidson, David Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2008
Last updated Mar 3rd, 2021 - about 3 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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