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Dr. Noel Cowart Davis JR., DC
Chiropractor in Bourbonnais, Illinois
NPI 1831212992

Noel Cowart Davis JR. is a Chiropractor based in Bourbonnais, IL. Noel Cowart Davis JR. practices in Bourbonnais, IL and has the professional credentials of DC. The NPI Number for Noel Cowart Davis JR. is 1831212992 and holds a License No. A05844 (Illinois).

The current practice location address for Noel Cowart Davis JR. is 232 Main St Nw, Bourbonnais, IL and can be reached out via phone at 815-939-4900.

Location: 232 Main St Nw, Bourbonnais, IL, 60914-1938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831212992
Provider Name
Noel Cowart Davis JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
232 Main St Nw, Bourbonnais, IL, 60914-1938
Phone Number
815-939-4900
Fax Number
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0002782002 01 IL BCBS
37-1243600 01 IL FED ID
0767558 05 IA
53643 01 IA BCBS WELLMARK
253414 01 IA MIDLANDS
9484203 01 IA PHCS
36-3862007 01 FEIN
institution
Provider Business Practice Location Address Details
Address
232 Main St Nw
City
Bourbonnais
State
Illinois
Zip
60914-1866
Phone Number
815-939-4900
Fax Number
person
Provider Business Mailing Address Details
Address
232 Main St Nw
City
Bourbonnais
State
Illinois
Zip
60914-1866
Phone Number
815-939-4900
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
A05844 (Iowa)
Definition
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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