Loren Davis is a Lockport, Illinois based male chiropractor with 27 years of experience in General Chiropractor. He completed his graduation from Other in 1997. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Loren Davis as General Chiropractor is 038008320 in Illinois. Loren Davis is qualified as 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.
Complete Profile:
Loren Davis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
27+ years
Medical School Attended:
Other
Graduation Year:
1997
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
16622 W. 159th St., Suite 500, Lockport, Illinois, 60441-8015
Phone:
815-838-7746
Fax:
815-838-5090
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7416963723
Enrollment ID:
I20060223000591
NPI Number:
1891917795
NPI Enumeration Date:
02 May, 2007
NPI Last Update On:
17 Nov, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Loren Davis are as mentioned below.
License Number
Specialization
State
Status
038008320
Chiropractor
Illinois
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Loren Davis is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Chicago Anti Aging Institute Sc (7113253576)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Loren Davis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P00864465
Other
PTAN
9932868
Other
BLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
16622 W. 159th St., Suite 500 Lockport, Illinois
Zip:
60441-8015
Phone Number:
815-838-7746
Fax Number:
815-838-5090
Patients can reach Loren Davis at 16622 W. 159th St., Suite 500, Lockport, Illinois or can call to book an appointment on 815-838-7746. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.