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Search › Illinois › 101YM0800X

Mitchell Davenport, LCPC

NPI 1750461646 · on the registry since 2006

Practice

Address
526 W State Street
Rockford, IL 61101
Phone
(815) 968-9300
Fax
(815) 968-5314
Organisation at this address
Rosecrance Inc
Rosecrance Inc
Janet Wattles Center
Genoa Healthcare, Llc
Swedishamerican Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois