Agamah, Edem S

Agamah, Edem S is an individual health care provider with primary practice located at 315 W Carpenter St 1St Floor, Clinic B, Springfield IL 62702-4901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Agamah, Edem S can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
315 W Carpenter St 1St Floor, Clinic B Springfield IL 62702-4901
Fax: (217) 545-1141
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036085000 Illinois

Profile Details

NPI number 1932147279
LBN Legal business name Agamah, Edem S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Oct 16th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932147279 NPPES
Illinois Other 272742 HEALTHLINK
Illinois Other 8415062 HEALTHLINK
Illinois MEDICAID 036085000 HEALTHLINK
Illinois Other 900001174 HEALTHLINK

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