Dr. David Marc Civitarese
Internist Physical Medicine & Rehabilitation Doctor
420 E Superior St Ste 9-900
Chicago
, Illinois 60611-4494
Dr. David Marc Civitarese
Internist Physical Medicine & Rehabilitation Doctor
420 E Superior St Ste 9-900
Chicago
, Illinois 60611-4494
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About
Features
Specialties
- Internist
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. David Marc Civitarese
- 420 E Superior St Ste 9-900
- Chicago, IL
- Zip : 60611-4494
- Phone :
Second Address
- Dr. David Marc Civitarese
- 420 E Superior St Ste 9-900
- Chicago, IL
- Zip : 60611-4494
- Phone : (312) 503-7975
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 125.077388 | IL |
| N | 111NI0900X | Internist | 125.077388 | IL |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 125.077388 | IL |
National Provider Identifier
| NPI | 1063048676 |
|---|---|
| Provider Name | Dr. David Marc Civitarese |
| First Address | Chicago, IL 60611-4494 |
| Second Address | Chicago, IL 60611-4494 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2020 |
| Last Update Date | 08/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.