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DAVENPORT MEDICAL INC
NPI 1619603065
Internal Medicine in Oak Park, IL

Active since July 28, 2022
1023 MAPLETON AVE, OAK PARK, IL 60302(773) 543-8964 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Davenport Medical Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVENPORT MEDICAL INC (NPI 1619603065) is a healthcare organization registered as an internal medicine in Oak Park, Illinois and active in the NPI registry since July 2022. The organization lists Tracey Davenport, President/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1619603065
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDAVENPORT MEDICAL INC
Location Address1023 MAPLETON AVEOak Park, IL 60302-1405
Mailing Address1023 Mapleton AveOak Park, IL 60302-1405 · (773) 543-8964
Phone(773) 543-8964
Organization SubpartNo
Authorized OfficialTracey DavenportPresident/authorized Official · (773) 543-8964
Enumeration DateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
✔ NPI 1619603065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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 diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1023 MAPLETON AVE, Oak Park, IL 60302
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Other Identifiers 1

Medicaid036114303IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davenport Medical Inc's NPI number?

The NPI number for Davenport Medical Inc is 1619603065. It was assigned to this organization in the NPPES registry on July 28, 2022.

Where is Davenport Medical Inc located?

Davenport Medical Inc is located at 1023 Mapleton Ave, Oak Park, IL 60302. The listed phone number is (773) 543-8964.

What is Davenport Medical Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Davenport Medical Inc was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.