DR. MICHAEL J DAVALLE MD NPI 1386600039

NPI Information

  • NPI: 1386600039
  • Provider Name: DR. MICHAEL J DAVALLE, MD
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2650 WARRENVILLE RD
    STE 280
    DOWNERS GROVE, IL
    ZIP 60515
  • Phone: (630) 324-7916

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NPI Details

DR. Michael J Davalle, MD is a thoracic surgery cardiothoracic vascular surgery in Downers Grove, IL. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Michael J Davalle, MD NPI is 1386600039. 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:

2650 WARRENVILLE RD
STE 280
DOWNERS GROVE, IL
ZIP 60515
Phone: (630) 324-7916
Fax: (630) 324-7946

The NPI 1386600039 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 2/14/2020.

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
12086S0129XSurgeryVascular Surgery036066312ILLINOISNo
22086S0129XSurgeryVascular Surgery01055379AINDIANANo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)01055379AINDIANANo
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)036066312ILLINOISYes

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
1344390OTHERDU PAGE GROUP
236066316MEDICAIDILLINOIS
3526620OTHERCOOK GROUP

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: 11/21/2025

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