TRACEY M DAVENPORT (NPI# 1114033826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114033826 |
| Entity Type | Individual |
| Full Name | TRACEY M DAVENPORT |
| Other Name | TRACEY ALQASEM |
| Credential | M.D. |
| Practice Address |
7301 N Lincoln Ave Lincolnwood IL 60712-1709 |
| Mailing Address |
1333 Butterfield Rd Ste 130 Downers Grove IL 60515-5641 |
| Practice Telephone | 2247667669 |
| Practice Fax Number | 8476740892 |
| Mailing Telephone | 6303710133 |
| Mailing Fax Number | 6303710138 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2018-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036-114303 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003254780 | Tracey Davenport | Counselor | 5012 S La Brea Ave Ste 2, Los Angeles, CA 90056-1863 | 2013-06-04 |
| Street Address |
7301 N LINCOLN AVE |
| City | LINCOLNWOOD |
| State | IL |
| Zip Code | 60712-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185885 | Susan Lynne Coopersmith | Dietitian, Registered | 7301 N Lincoln Ave, Suite 205, Lincolnwood, IL 60712-1709 | 2005-06-23 |
| 1821525676 | Doctors for House Calls LLC | General Practice | 7301 N Lincoln Ave, Ste#121, Lincolnwood, IL 60712-1709 | 2017-05-11 |
| 1497188692 | Onsite Health Ancillary Services | Family Medicine | 7301 N Lincoln Ave, Suite 183, Lincolnwood, IL 60712 | 2013-08-12 |
| 1740585579 | Onsite Healthcare, Inc., Sc | Internal Medicine | 7301 N Lincoln Ave, Suite #183, Lincolnwood, IL 60712-1709 | 2011-01-26 |
| 1912209735 | Oasis of Care Home Health Services, Inc. | Home Health | 7301 N Lincoln Ave, Suite 123, Lincolnwood, IL 60712-1709 | 2010-11-30 |
| 1952532178 | Lincoln Home Health Care Inc. | Home Health | 7301 N Lincoln Ave, Suite 121, Lincolnwood, IL 60712-1709 | 2009-08-05 |
| 1477795904 | Dimensions Healthcare Services, Inc. | Home Health | 7301 N Lincoln Ave, Suite 119, Lincolnwood, IL 60712-1709 | 2009-03-30 |
| 1497948517 | Fastrack Medical Supplies,inc. | Durable Medical Equipment & Medical Supplies | 7301 N Lincoln Ave, Suite 215, Lincolnwood, IL 60712-1735 | 2007-08-22 |
| 1720270135 | Platinum Home Health Services Inc. | Home Health | 7301 N Lincoln Ave, Suite 114, Lincolnwood, IL 60712-1709 | 2007-08-10 |
| 1265582035 | New Era Home Care, Inc. | Home Health | 7301 N Lincoln Ave, Suite 129, Lincolnwood, IL 60712-1709 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255998811 | Better Residential Care | Adult Companion | 7301 N. Lincoln Avenue, Suite 104, Lincolnwood, IL 60712 | 2019-05-20 |
| 1538652441 | Elysium Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7366 N Lincoln Ave Ste 304, Lincolnwood, IL 60712 | 2018-06-14 |
| 1851805253 | Jasmine Lukose | Nurse Practitioner | 6501 N. Lincoln Ave, Lincolnwood, IL 60712 | 2017-11-21 |
| 1982134425 | Sana Baig | Dentist | 4368 W Touhy Ave, Lincolnwood, IL 60712 | 2017-06-18 |
| 1447640081 | Soghra Sorouri | Dentist | 6838 N. Kilpatrick Ave, Lincolwood, IL 60712 | 2015-02-04 |
| 1164839239 | Sunrise Nursing & Rehabilitation Center | Skilled Nursing Facility | 7383 N Lincon Ave, Suite 100, Lincolnwood, IL 60712 | 2014-07-21 |
| 1013328079 | Lawrence S. Reiner | Dentist | 4751 W. Touhy Ave, Lincolnwood, IL 60712 | 2014-05-13 |
| 1437430121 | Susan B Sorisho | Pharmacist | 7318 N East Prairie Rd, Lincolnwood, IL 60712 | 2011-09-08 |
| 1922338623 | Dean Medical, Sc | Internal Medicine | 6501 N. Sauganash, Lincolnwood, IL 60712 | 2010-01-04 |
| 1134456064 | Leah Brennan | Marriage & Family Therapist | 6834 N. Lowell Ave., Lincolnwood, IL 60712 | 2009-11-13 |
| Find all providers in zip 60712 | ||||
| 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 |
|---|---|---|---|---|
| 1609436278 | Midwest Medical Physicians LLC | Internal Medicine | 6600 N Lincoln Ave Ste 237, Lincolnwood, IL 60712-3633 | 2019-06-17 |
| 1619431970 | Ayesha Meher Sultana | Internal Medicine | 3902 W Arthur Ave, Lincolnwood, IL 60712-3910 | 2019-01-30 |
| 1669718896 | Elliot Baker | Internal Medicine | 6755 N Lockwood Ave, Lincolnwood, IL 60712-3106 | 2012-12-16 |
| 1922338623 | Dean Medical, Sc | Internal Medicine | 6501 N. Sauganash, Lincolnwood, IL 60712 | 2010-01-04 |
| 1629295647 | Nora Medical Group, S.c. | Internal Medicine | 6969 North Lincoln Avenue, Lincolnwood, IL 60712-2527 | 2007-04-19 |
| 1861412702 | Tamid Medical Group | Internal Medicine | 6936 N Kostner Ave, Lincolnwood, IL 60712-4717 | 2006-07-21 |
| 1053339499 | Maryannette E Nora | Internal Medicine | 6969 N Lincoln Ave, Lincolnwood, IL 60712-2527 | 2006-07-17 |
| 1942227616 | Michael Vaewhongs | Internal Medicine | 7301 N Lincoln Ave Ste 183, Lincolnwood, IL 60712-1736 | 2006-07-17 |
| 1881624757 | Francisco L Chuy Md Sc | Internal Medicine | 3919 W Touhy Ave, Lincolnwood, IL 60712 | 2006-07-04 |
| 1922051853 | North Shore Physicians Group, LLC | Internal Medicine | 7380 N Lincoln Ave, Lincolnwood, IL 60712-1705 | 2006-05-19 |
| Find all providers in LINCOLNWOOD | ||||
| City | LINCOLNWOOD |
| Zip Code | 60712 |
Please comment or provide details below to improve the information on TRACEY M DAVENPORT.
| 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.