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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154363372 | NPPES |
| Illinois | MEDICAID | 036109720 |
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