Davis, John

Davis, John is an individual health care provider with primary practice located at 900 Jorie Blvd Suite 186, Oak Brook IL 60523-2213. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Davis, John can be contacted via phone (630) 954-6700.

Contact Information

Primary practice address
900 Jorie Blvd Suite 186 Oak Brook IL 60523-2213
Phone: (630) 954-6700
Fax: (630) 954-1555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01073739A Indiana
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 036109720 Illinois

Profile Details

NPI number 1154363372
LBN Legal business name Davis, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 16th, 2022 - about 2 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 1154363372 NPPES
Illinois MEDICAID 036109720

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