Dayle Valerie Davenport M.D.

NPI 1639338213 - Emergency Medicine - 207P00000X

NPI Details
NPI 1639338213
Gender Female
Enumeration Date 06/09/2008
Last Updated 06/09/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1653 W CONGRESS PKWY
CHICAGO IL, 60612-3833, US
Phone (312) 942-6428
Fax
Business Location
2321 E 70TH PL
UNIT 009
CHICAGO IL, 60649-2263, US
Phone (773) 667-6071
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Illinois
License Number 036120918
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According to our database, Dayle Valerie Davenport M.D. NPI is 1639338213, taxonomy code is 207P00000X and license number is 036120918, license state is located at Illinois. Dayle Valerie Davenport M.D. physically located at 1653 W Congress Pkwy, Chicago IL, 60612-3833. NPI Number Dayle Valerie Davenport M.D. has the Individual type.

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1639338213 NPI number is provided on an as is basis without warranty of any kind. 1639338213 is maintained by the National Plan & Provider Enumeration System. The contents of Dayle Valerie Davenport M.D. are for informational purposes only.