Andy Agen Davis, Md Sc

LBN: Andrew Agen Davis, Md Sc
Andy Agen Davis, Md Sc is an health care organization with primary practice located at 8541 So State Street Suite 8, Chicago IL 60619. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Andrew Agen Davis, Md Sc can be contacted via phone (773) 874-7711, or through Davis, Andrew Agen via phone (773) 874-7711.

Contact Information

Primary practice address
8541 So State Street Suite 8 Chicago IL 60619
Phone: (773) 874-7711
Fax: (773) 874-4721
Website:
Map and Directions
Authorized official contact:
Name: Davis, Andrew Agen Doctor of Medicine (MD)
Phone: (773) 874-7711

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036054434 Illinois

Profile Details

NPI number 1598869224
LBN Legal business name Andrew Agen Davis, Md Sc
DBA Doing business as Andy Agen Davis, Md Sc
Authorized official Davis, Andrew Agen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Feb 6th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598869224 NPPES
Illinois MEDICAID 036054434

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