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 |
|---|
| Gender | Male |
|---|
| Speciality | Acupuncturist |
|---|
| Location | 700 N Lake St, Mundelein, Illinois |
|---|
| 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 |
Reviews and Comments