Provider Demographics
NPI:1356307367
Name:DAVIS, ZEV (MD)
Entity Type:Individual
Prefix:DR
First Name:ZEV
Middle Name:
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 WARRENVILLE RD
Mailing Address - Street 2:STE 280
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515
Mailing Address - Country:US
Mailing Address - Phone:630-324-7900
Mailing Address - Fax:630-324-7942
Practice Address - Street 1:801 S WASHINGTON
Practice Address - Street 2:4TH FLR
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540
Practice Address - Country:US
Practice Address - Phone:630-416-8500
Practice Address - Fax:630-416-8694
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJ538787208G00000X
IN01030832A208G00000X
IL208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
526620OtherCOOK GROUP
IL36060900Medicaid
344390OtherDU PAGE GROUP
IL36060900Medicaid
526620OtherCOOK GROUP
344390OtherDU PAGE GROUP