Emmanuel Agomo (NPI# 1093760514, PAC ID# 0143231464) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1093760514 |
PAC ID by PECOS | 0143231464 |
Professional Enrollment ID | I20060525000039 |
Full Name | Emmanuel Agomo |
Organization Legal Name | NEW SOUTHTOWN MEDICAL GROUP S C |
Address |
11000 S Halsted St Chicago IL 60628-3909 |
Phone Number | 7732642236 |
Gender | M |
Credential | PA |
Graduation Year | 2009 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 0547572349 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
11000 S Halsted St, Chicago, IL 60628-3909 | 7732642236 | NEW SOUTHTOWN MEDICAL GROUP S C |
Organization Legal Name | NEW SOUTHTOWN MEDICAL GROUP S C |
Physicians | 11 |
Name | Specialty | Organization | Address |
---|---|---|---|
Delovely G Jackson | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Leshaun Williams | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Asantewah F Daniels | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Sherree Mccool | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Jamilah F Johnson | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Cesar Augusto Carranza | Family Medicine | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Lynda Nathan | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Chakika L Williams | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Folarin Opakunle | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Rita J Mcguire | Internal Medicine | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Street Address |
11000 S HALSTED ST |
City | CHICAGO |
State | IL |
Zip | 60628-3909 |
Name | Specialty | Organization | Address |
---|---|---|---|
Delovely G Jackson | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Leshaun Williams | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Asantewah F Daniels | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Sherree Mccool | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Jamilah F Johnson | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Cesar Augusto Carranza | Family Medicine | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Lynda Nathan | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Chakika L Williams | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Folarin Opakunle | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Rita J Mcguire | Internal Medicine | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Victor L Thomas | Internal Medicine | Christian Community Health Center | 9718 S Halsted St, Chicago, IL 60628-1007 |
Angel Leake | Internal Medicine | Christian Community Health Center | 9718 S Halsted St, Chicago, IL 60628-1007 |
Solomon O Okai | Internal Medicine | Christian Community Health Center | 9718 S Halsted St, Chicago, IL 60628-1007 |
Jamiere Y Smith | Obstetrics/gynecology | Jamiere Y Smith Md Sc | 9915 S Halsted St, Chicago, IL 60628-1035 |
Aquila R Shelby | Nurse Practitioner | Little Company of Mary Affiliated Services Inc | 736 W 95th St, Chicago, IL 60628-1063 |
Nicole D King | Internal Medicine | 9500 S Dorchester Ave, Suite 100, Chicago, IL 60628-1700 | |
Olukayode Olowe | Internal Medicine | 123 E 103rd St, Chicago, IL 60628-2713 | |
Emily Therese Opiola | Nurse Practitioner | American Current Care of Illinois PC | 900 E 103rd St, Chicago, IL 60628-3033 |
Mejo Vayalil | Nurse Practitioner | Seby S C | 10830 S Halsted St, Chicago, IL 60628-3126 |
James B Achebe | Family Medicine | 10810 S Halsted St, Chicago, IL 60628-3126 | |
Find all physicians in zip 60628 |
City | CHICAGO |
Zip Code | 60628 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | CHICAGO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Emmanuel Agomo.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.