All Medicaid billing entities listing DAVENPORT, MICHAEL (GENERAL PARTNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Illinois | 1 | $172K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FAMILY MEDICINE OF MCLEANSBORO LLC | MCLEANSBORO, IL | Family Nurse Practitioner | $172K |