Davis, Andrew Agen
Davis, Andrew Agen is an sole proprietor health care provider with primary practice located at 8541 S State St Suite 8, Chicago IL 60619-5665. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Davis, Andrew Agen can be contacted via phone (773) 874-7711.Contact Information
Primary practice address
8541 S State St Suite 8
Chicago IL 60619-5665
Phone: (773) 874-7711
Fax: (773) 874-4721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036054434 | Illinois |
Profile Details
| NPI number | 1245247634 |
|---|---|
| LBN Legal business name | Davis, Andrew Agen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Feb 11th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245247634 | NPPES |
| Illinois | MEDICAID | 036054434 |
Popular Providers
-
Kumar, Surender
6084 S Archer Ave Suite 102, Chicago IL 60638-2747 -
Cioata, Dumitru F
7447 W Talcott Ave Suite 222, Chicago IL 60631-3745 -
Tenzer, Marc L
7447 W Talcott Ave Suite 200, Chicago IL 60631-3745 -
Bonow, Robert
675 N Saint Clair St Galter 19-100, Chicago IL 60611-5975 -
Brady, Peter A
3134 N Clark St , Chicago IL 60657-4414 -
Upton, Mark T
233 E Erie St Suite 412, Chicago IL 60611-2926 -
Vyas, Uday
7101 W Higgins Ave , Chicago IL 60656-1903 -
Fisher, Raymond
7447 W Talcott Ave Suite 200, Chicago IL 60631-3745