NPIMap

Organization Active NPI

Davison-McNeal SC

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1073948618
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005441 Issued in IL
Legal business name
DAVISON-MCNEAL SC
Practice address
6330 S Ingleside Ave
Unit 1
Chicago, IL 60637-3620
Phone
(773) 641-1489
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kibibi Davison, DPM
Title
Owner
Phone
(773) 641-1489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016005441 IL Primary

Addresses

Primary practice location

6330 S Ingleside Ave
Unit 1
Chicago, IL 60637-3620

Mailing address

6330 S Ingleside Ave
Unit 1
Chicago, IL 60637-3620
Phone (773) 641-1489

Other names 1

  • Davison-McNeal SC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1073948618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 S INGLESIDE AVE",
            "address_2": "UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606373620",
            "telephone_number": "773-641-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 S INGLESIDE AVE",
            "address_2": "UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606373620",
            "telephone_number": "773-641-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVISON-MCNEAL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "KIBIBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-641-1489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davison-McNeal SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.