Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Davenport Medical Inc

Organization Internal Medicine Physician · NPI 1619603065

Davenport Medical Inc is an Internal Medicine Physician in Oak Park, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1023 Mapleton Ave
Oak Park, IL 60302-1405
Phone: (773) 543-8964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1619603065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracey Davenport — President/Authorized Official · (773) 543-8964
NPI enumeratedJuly 28, 2022
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address1023 Mapleton Ave, Oak Park, IL 60302-1405

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