Davis, Gary Jack

Davis, Gary Jack is an individual health care provider with primary practice located at 1000 Central St Suite 640, Evanston IL 60201-1777. 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 / Internal Medicine is his primary health care specialty. Davis, Gary Jack can be contacted via phone (847) 570-1410.

Contact Information

Primary practice address
1000 Central St Suite 640 Evanston IL 60201-1777
Phone: (847) 570-1410
Fax: (847) 869-0520
Website:
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Health care specialties

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

Profile Details

NPI number 1588605745
LBN Legal business name Davis, Gary Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 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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