Individual provider · Type 1 NPI
Philip Wesley Davidson, D.C
Chiropractor · Gurnee, IL
NPI number
1639474570
Active
Practice location
5334 Henry Court, Apt B
Gurnee, IL 60031-6023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038.011657 (IL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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- Nathanial Bradley Clark, DCChiropractor Gurnee, IL NPI 1437339678
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About NPI 1639474570
Philip Wesley Davidson, D.C's National Provider Identifier is 1639474570, issued on Jan 25, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Gurnee, IL. The record was last updated on Oct 25, 2011.