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1619603065
DAVENPORT MEDICAL INC
OAK PARK, IL
NPI
1619603065
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Entity Type
Organization
Authorized Contact
TRACEY DAVENPORT
President/Authorized Official
773-543-8964
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2022-07-28
Last Update Date
2022-07-28
Business Address
DAVENPORT MEDICAL INC
1023 MAPLETON AVE
OAK PARK, IL 60302-1405
Phone number: 773-543-8964
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Mailing Address
DAVENPORT MEDICAL INC
1023 MAPLETON AVE
OAK PARK, IL 60302-1405
Phone number: 773-543-8964
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