Andrew Agen Davis in Chicago - Cardiovascular Disease
Andrew Agen Davis - NPI 1245247634
Andrew Agen Davis is a Cardiovascular Disease in Chicago, Illinois. Andrew Agen Davis practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Andrew Agen Davis is 1245247634. The last update date is 2015-02-11.
Andrew Agen Davis's current location address is 8541 S State St, Chicago, Illinois. You can contact this provider via phone number 7738747711 and fax number 7738744721. The mailing address for Andrew Agen Davis is 8541 S State St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Agen Davis |
|---|---|
| Address | 8541 S State St, Chicago, Illinois |
| Phone Number | 7738747711 |
| Fax Number | 7738744721 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245247634 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2015-02-11 |
Provider Mailing Address Detail
| Address | 8541 S State St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606195665 |
| Phone Number | 7738747711 |
| Fax Number | 7738744721 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 36054434 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36054434 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Andrew Agen Davis by the Centers for Medicare & Medicaid Services?
The Andrew Agen Davis has been assigned the NPI (National Provider Identifier) 1245247634. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Andrew Agen Davis is located?
The Andrew Agen Davis is situated at the following address: 8541 S State St, Chicago, IL, 606195665.
What is Andrew Agen Davis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Andrew Agen Davis is Cardiovascular Disease, and the taxonomy code that categorizes this field of expertise is 207Rc0000X.
On what date did Andrew Agen Davis receive its 1245247634 assignment from the Centers for Medicare & Medicaid Services?
The Andrew Agen Davis was assigned its 1245247634 on 2006-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Andrew Agen Davis most recently updated or revised?
The information pertaining to Andrew Agen Davis, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-11.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY