Mark R Davis II

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009126 Issued in IL

Practice address

930 Il Route 22
Fox River Grove, IL 60021-1905

Phone

(847) 516-1688

Fax

(847) 516-9269

NPI assigned

Sep 21, 2006

Last updated

Nov 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiro First Inc

  • Clinic/Center
  • Lincoln, NE
  • NPI 1588802797
  NPD (past)
• Chiropractic First of Delafield LLC

  • Chiropractor
  • Delafield, WI
  • NPI 1831581891
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1356449276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N ROCHESTER ST",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491139",
            "telephone_number": "262-363-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 IL ROUTE 22",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211905",
            "telephone_number": "847-516-1688",
            "fax_number": "847-516-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Cernivec, OTR/L
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• Shannon Duarte
• Shannon Dunn, BT
• Katherine Edwards, SLP CF
• Ela Home Care

• Chiropractor in Fox River Grove, IL
• Providers in Fox River Grove, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.