Agbunag, David P.

Agbunag, David P. is an individual health care provider with primary practice located at 1725 W Harrison St #1063, Chicago IL 60612-3841. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Agbunag, David P. can be contacted via phone (312) 243-4244.

Contact Information

Primary practice address
1725 W Harrison St #1063 Chicago IL 60612-3841
Phone: (312) 243-4244
Fax: (312) 243-2744
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085002886 Illinois

Profile Details

NPI number 1093885188
LBN Legal business name Agbunag, David P.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 25th, 2008 - about 17 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 1093885188 NPPES
Illinois Other 209118 MEDICARE PTAN LOCALITY 15
Illinois Other 209119 MEDICARE PTAN LOCALITY 15

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