DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVID JEREMY DAVIDSON, MD

Active Sole Proprietor

DAVID JEREMY DAVIDSON, MD is a Cardiovascular Disease healthcare provider located in BANNOCKBURN, Illinois. NPI 1063679116 is currently active in the NPPES registry. Verify at CMS.

Cardiovascular Disease · BANNOCKBURN, IL

Registration Details

NPI Number
1063679116
Provider Type
Individual
Gender
Male
NPI Issued
May 16, 2008 (18.276300795283 yrs)
Last Updated
Mar 3, 2021
Licenses
036125260 (IL)
036125260 (IL)
Sole Proprietor
Yes

Practice Information

Address
2151 WAUKEGAN RD STE 100
BANNOCKBURN, IL, 600151885
Browse IL providers · Browse ZIP 60015
Phone
8476638410
Fax
8472671429
Primary Specialty
Cardiovascular Disease
207RC0000X
Additional Specialty
Cardiovascular Disease

Other Cardiovascular Disease Providers in BANNOCKBURN, IL

Name Credential NPI
DR. BRIAN PATRICK SHORTAL MD 1356331961
DAVID R CAMPBELL M.D. 1124065453
ELI LAVIE MD 1831116920
V ARVIND MENON MD 1417974502
JAY H ALEXANDER MD 1417977539
GARY R PINELESS MD 1700806858
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.