Davis Chiropractic, LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38007677 Issued in IL

Legal business name

DAVIS CHIROPRACTIC, LTD

Practice address

202 S Marion St
Oak Park, IL 60302-3104

Phone

(708) 386-2090

Fax

(773) 261-1736

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daryl Ellis Davis, D.C.NPI 1356306088

Title

Owner

Phone

(708) 386-2090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Daryl Ellis Davis, DC

  • Chiropractor
  • Oak Park, IL
  • NPI 1356306088
  Medicare reassignment NPD Authorized official
• Tamara St. John, D.C.

  • Chiropractor
  • Carpentersville, IL
  • NPI 1114030228
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104960368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S MARION ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023104",
            "telephone_number": "708-386-2090",
            "fax_number": "773-261-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S MARION ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023104",
            "telephone_number": "708-386-2090",
            "fax_number": "773-261-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS CHIROPRACTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-386-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38007677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Lou Dassinger
• Datta Sambare MD SC
• Davenport Medical Inc
• David R Schatz MD SC
• Robert Emmett Davies III, LCSW
• Bertha Davis, LCSW
• Charles Edward Davis, PH.D.
• Chirah Alvinay Davis
• Daryl Ellis Davis, DC
• Georgetta J Davis

• Chiropractor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.