David Jeremy Davidson in Bannockburn - Internal Medicine
David Jeremy Davidson - NPI 1063679116
David Jeremy Davidson is a Internal Medicine in Bannockburn, Illinois. David Jeremy Davidson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for David Jeremy Davidson is 1063679116. The last update date is 2021-03-03.
David Jeremy Davidson's current location address is 2151 Waukegan Rd Ste 100, Bannockburn, Illinois. You can contact this provider via phone number 8476638410 and fax number 8472671429. The mailing address for David Jeremy Davidson is 2151 Waukegan Rd Ste 100, Bannockburn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Jeremy Davidson |
|---|---|
| Address | 2151 Waukegan Rd Ste 100, Bannockburn, Illinois |
| Phone Number | 8476638410 |
| Fax Number | 8472671429 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063679116 |
|---|---|
| Provider Enumeration Date | 2008-05-16 |
| Last Updated Date | 2021-03-03 |
Provider Mailing Address Detail
| Address | 2151 Waukegan Rd Ste 100 |
|---|---|
| City | Bannockburn |
| State | Illinois (IL) |
| Post Code | 600151885 |
| Phone Number | 8476638410 |
| Fax Number | 8472671429 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36125260 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Post Comment/ Review Below
What is the unique provider identifier assigned to David Jeremy Davidson?
The David Jeremy Davidson has been issued the NPI (National Provider Identifier) 1063679116 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where David Jeremy Davidson is physically located?
The David Jeremy Davidson is situated at the following address: 2151 Waukegan Rd Ste 100, Bannockburn, IL 600151885.
What is David Jeremy Davidson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David Jeremy Davidson is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063679116 to David Jeremy Davidson?
The Centers for Medicare & Medicaid Services originally issued the 1063679116 to David Jeremy Davidson on 2008-05-16.
As of what date were the details related to David Jeremy Davidson most recently updated or revised?
The information pertaining to David Jeremy Davidson, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-03.
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