Agomo, Emmanuel N
Agomo, Emmanuel N is an individual health care provider with primary practice located at 240 E Lake St Suite 200, Addison IL 60101-2890. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Agomo, Emmanuel N can be contacted via phone (630) 941-9344.Contact Information
Primary practice address
240 E Lake St Suite 200
Addison IL 60101-2890
Phone: (630) 941-9344
Fax: (630) 941-1486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 85002328 | Illinois |
Profile Details
| NPI number | 1093760514 |
|---|---|
| LBN Legal business name | Agomo, Emmanuel N |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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