DR. JOHN DAVIS M.D. NPI 1154363372

NPI Information

NPI: 1154363372
Provider Name: DR. JOHN DAVIS, M.D.
Classification: Internal Medicine - 207RA0000X
Entity Type: Individual

Specialization: Adolescent Medicine

PECOS Registration: Yes

Address:
900 JORIE BLVD
SUITE 186
OAK BROOK, IL
ZIP 60523
Phone: (630) 954-6700
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DR. John Davis, M.D. is an adolescent medicine internal medicine in Oak Brook, IL with 24 years of experience. The provider is 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. DR. John Davis, M.D. NPI is 1154363372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

900 JORIE BLVD
SUITE 186
OAK BROOK, IL
ZIP 60523-213
Phone: (630) 954-6700
Fax: (630) 954-1555

The NPI 1154363372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 11/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208M00000X	Hospitalist		01073739A	INDIANA	No
2	207RA0000X	Internal Medicine	Adolescent Medicine	036109720	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036109720	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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