MICHAEL RAY DAVENPORT

CHICAGO, IL
NPI1780619635
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036063450)
Enumeration Date2006-07-11
Last Update Date2007-07-08
Business Address
Miss MICHAEL RAY DAVENPORT MD
1049 E 46TH ST
CHICAGO, IL 60653-3618
Phone number: 773-285-5902
Mailing Address
Miss MICHAEL RAY DAVENPORT MD
2320 E 93RD ST
CHICAGO, IL 60617-3983
Phone number: 773-967-5002