Active NPI
Eric Davis, DO
- Internal Medicine Physician
- Oak Lawn, IL
National Provider Identifier
1295539260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125086270
- Practice address
- 4220 West 95TH Street, Suite 200
Oak Lawn, IL 60453 - Phone
- (708) 398-0287
- NPI assigned
- Apr 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125086270 | IL | Primary |
Addresses
Primary practice location
4220 West 95TH Street, Suite 200
Oak Lawn, IL 60453
Mailing address
4220 W. 95TH Street, Suite 200
Oak Lawn, IL 60453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125086270 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1295539260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 W. 95TH STREET, SUITE 200",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "60453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 WEST 95TH STREET, SUITE 200",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "60453",
"telephone_number": "708-398-0287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ERIC",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-01",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125086270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.