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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EMMANUEL N AGOMO, PA-C

Active

Medical Physician Assistant · ADDISON, IL

Registration Details

NPI Number
1093760514
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2006 (19.914662769775 yrs)
Last Updated
Jul 8, 2007
License
85002328 (IL)

Practice Information

Address
240 E LAKE ST
SUITE 200
ADDISON, IL, 601012890
Browse IL providers · Browse ZIP 60101
Phone
6309419344
Fax
6309411486
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in ADDISON, IL

Name Credential NPI
PAULINA MARIA CYGAN 1881382943
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.