EDGAR DAVILA (NPI# 1063944205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063944205 |
| Entity Type | Individual |
| Full Name | EDGAR DAVILA |
| Practice Address |
124 79th St Burr Ridge IL 60527-5958 |
| Practice Telephone | 7736412037 |
| Mailing Telephone | 7736412037 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 125.071499 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457469959 | Edgar Davila | Optometrist | 150 Ave De Diego, Suite 404, San Juan, PR 00907-2300 | 2006-08-26 |
| Street Address |
124 79TH ST |
| City | BURR RIDGE |
| State | IL |
| Zip Code | 60527-5958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083273080 | Mazen Abdel-hadi, M.d., L.L.C. | Internal Medicine | 133 Kraml Dr, Burr Ridge, IL 60527-0301 | 2019-06-12 |
| 1770015836 | Logan Multispecialty Clinic S C | Internal Medicine | 15w560 91st St, Burr Ridge, IL 60527-6365 | 2017-03-29 |
| 1083028880 | William Stoecker | Internal Medicine | 901 Mcclintock Dr Ste 202, Burr Ridge, IL 60527 | 2014-06-19 |
| 1558785964 | Att Medical Ltd | Internal Medicine | 7810 Circle Dr, Burr Ridge, IL 60527-8011 | 2014-02-06 |
| 1073847356 | Iltifat Ahmed Alavi | Internal Medicine | 133 Tomlin Cir, Burr Ridge, IL 60527-4886 | 2009-09-19 |
| 1992945711 | Siri Health LLC | Internal Medicine | 8562 Johnston Rd, Burr Ridge, IL 60527-7076 | 2009-03-06 |
| 1477732345 | Tammaji P. Kulkarni | Internal Medicine | 15w700 90th St, Burr Ridge, IL 60527-6302 | 2007-10-29 |
| 1558570812 | Richard Alfonso Saavedra Sr. | Internal Medicine | 733 Tomlin Drive, Burr Ridge, IL 60527 | 2007-05-22 |
| 1043426760 | Jayant Malhotra | Internal Medicine | 25 Rodeo Dr, Burr Ridge, IL 60527-8385 | 2007-05-16 |
| 1558376368 | Anto Varghese Maliakkal | Internal Medicine | 8s165 S Vine St, Burr Ridge, IL 60527-5541 | 2006-07-30 |
| Find all providers in BURR RIDGE | ||||
| City | BURR RIDGE |
| Zip Code | 60527 |
Please comment or provide details below to improve the information on EDGAR DAVILA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.