Provider Demographics
NPI:1306813175
Name:PAPEZ, DAVID M (MS,AT,C)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:PAPEZ
Suffix:
Gender:M
Credentials:MS,AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3306 SPRINGFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175-1009
Mailing Address - Country:US
Mailing Address - Phone:847-334-9034
Mailing Address - Fax:
Practice Address - Street 1:1900 E THOMAS ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-4320
Practice Address - Country:US
Practice Address - Phone:847-718-4958
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist