Davis, Derrek
Davis, Derrek is an individual health care provider with primary practice located at 800 Biesterfield Rd Dept Of Anesthesia, Elk Grove Village IL 60007-3311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Davis, Derrek can be contacted via phone (847) 495-1603.Contact Information
Primary practice address
800 Biesterfield Rd Dept Of Anesthesia
Elk Grove Village IL 60007-3311
Phone: (847) 495-1603
Fax: (847) 537-4866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | Illinois |
Profile Details
| NPI number | 1306902606 |
|---|---|
| LBN Legal business name | Davis, Derrek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306902606 | NPPES |
| Illinois | Other | P00206308 | RAILROAD MEDICARE |
| Illinois | MEDICAID | 036096194 2 | RAILROAD MEDICARE |
| Illinois | Other | 0161919966 | RAILROAD MEDICARE |
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