Dawravoo, Kevin

Dawravoo, Kevin is an individual health care provider with primary practice located at 4405 Weaver Pkwy , Warrenville IL 60555-3269. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Dawravoo, Kevin can be contacted via phone (630) 352-5300.

Contact Information

Primary practice address
4405 Weaver Pkwy Warrenville IL 60555-3269
Phone: (630) 352-5300
Fax: (630) 352-5595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036122919 Illinois
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 036122919 Illinois
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036122919 Illinois

Profile Details

NPI number 1912163114
LBN Legal business name Dawravoo, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2008
Last updated Nov 21st, 2017 - about 7 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 1912163114 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois Other 206147128 MEDICARE PTAN (GROUP)
Illinois Other P01095279 MEDICARE PTAN (GROUP)
Illinois Other CA4748 MEDICARE PTAN (GROUP)
Illinois MEDICAID 036122919 MEDICARE PTAN (GROUP)

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