Ryan Kristopher Davenport, LAC is a
Acupuncturist based in Mundelein, Illinois. Ryan Kristopher Davenport is licensed to practice in Illinois (license number 198.001118) and his current practice location is
700 N Lake St, #102, Mundelein, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 949-0063.
NPI number for Ryan Kristopher Davenport is 1649518192 and his current mailing address is 1537 N Arlington Heights Rd, Unit B, Arlington Heights, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649518192.
Healthcare Provider's Profile
Full Name | Ryan Kristopher Davenport |
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Gender | Male |
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Speciality | Acupuncturist |
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Location | 700 N Lake St, Mundelein, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649518192
- Provider Enumeration Date: 01/17/2013
- Last Update Date: 01/17/2013
Medical Identifiers
Medical identifiers for Ryan Kristopher Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649518192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 198.001118 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Kristopher Davenport is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ryan Kristopher Davenport, LAC 1537 N Arlington Heights Rd, Unit B, Arlington Heights, IL 60004-3971 Ph: (815) 793-4708 | Ryan Kristopher Davenport, LAC 700 N Lake St, #102, Mundelein, IL 60060-1357 Ph: (847) 949-0063 |
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