John Davis in Oak Brook - Adolescent Medicine

John Davis - NPI 1154363372

John Davis is a Adolescent Medicine in Oak Brook, Illinois. John Davis practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for John Davis is 1154363372. The last update date is 2022-11-16.

John Davis's current location address is 900 Jorie Blvd, Oak Brook, Illinois. You can contact this provider via phone number 6309546700 and fax number 6309541555. The mailing address for John Davis is 900 Jorie Blvd, Oak Brook, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name John Davis
Address 900 Jorie Blvd, Oak Brook, Illinois
Phone Number 6309546700
Fax Number 6309541555
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1154363372
Provider Enumeration Date 2006-06-12
Last Updated Date 2022-11-16

Provider Mailing Address Detail

Address 900 Jorie Blvd
City Oak Brook
State Illinois (IL)
Post Code 605232213
Phone Number 6309546700
Fax Number 6309541555

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 207Ra0000X
Licence No 36109720
Definition:
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36109720 IL --

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FAQs about John Davis

What is the unique identification code assigned to John Davis by the Centers for Medicare & Medicaid Services?

The John Davis has been issued the NPI (National Provider Identifier) 1154363372. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where John Davis's facilities are situated?

The facilities of John Davis are physically located at the following address: 900 Jorie Blvd, Oak Brook, IL, 605232213.

What is John Davis'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 John Davis is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Ra0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1154363372 to John Davis?

The Centers for Medicare & Medicaid Services assigned the 1154363372 to John Davis on 2006-06-12.

As of what date were the details related to John Davis most recently updated or revised?

The information pertaining to John Davis, including its address, specialty, and other relevant details, was last updated or revised on 2022-11-16.

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