ARTHUR I DAVIDA MD PC NPI 1821374570

NPI Information

ARTHUR I DAVIDA MD PC is a health service clinic center in Bloomingdale, IL. ARTHUR I DAVIDA MD PC NPI is 1821374570. The provider is registered as an organization entity type.
The provider Is Doing Business As Doc's Shop.

The provider's business location address is:

105 3RD ST
BLOOMINGDALE, IL
ZIP 60108-212
Phone: (630) 893-8050
Fax: (630) 893-8154

The provider's authorized official is Arthur I Davida .
The authorized official title is Owner and has the following contact phone number (630) 893-8050.

The enumeration date for this NPI number is 10/26/2011 and was last updated on 10/26/2011.

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:

Other Identifiers

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

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