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1780619635
MICHAEL RAY DAVENPORT
CHICAGO, IL
NPI
1780619635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036063450)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
Miss MICHAEL RAY DAVENPORT MD
1049 E 46TH ST
CHICAGO, IL 60653-3618
Phone number: 773-285-5902
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Mailing Address
Miss MICHAEL RAY DAVENPORT MD
2320 E 93RD ST
CHICAGO, IL 60617-3983
Phone number: 773-967-5002
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