Andrew Agen Davis (NPI# 1245247634, PAC ID# 1254337884) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1245247634 |
PAC ID by PECOS | 1254337884 |
Professional Enrollment ID | I20061004000572 |
Full Name | Andrew Agen Davis |
Address |
8541 S State St Suite 8 Chicago IL 60619-1563 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
Graduation Year | 1975 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140158 | MERCY HOSPITAL AND MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
8541 S State St, Suite 8, Chicago, IL 60619-1563 | ||
8541 S State St, Chicago, IL 60619-1563 |
Street Address |
8541 S STATE ST SUITE 8 |
City | CHICAGO |
State | IL |
Zip | 60619-1563 |
Name | Specialty | Organization | Address |
---|---|---|---|
Raj K Goyal | Ophthalmology | 8541 S State St, Suite 5, Chicago, IL 60619-5664 | |
Vijaya K Sarma | Internal Medicine | 8541 S State St, Suite 9, Chicago, IL 60619-1563 | |
Kortnee Y Roberson | Family Practice | Mercy Hospital and Medical Center | 8541 S State St, Chicago, IL 60616-5665 |
Niva M Lubin Johnson | Internal Medicine | Quality Primary Care P C | 8541 S State St, Chicago, IL 60619-5664 |
Name | Specialty | Organization | Address |
---|---|---|---|
Debra L Hawkins | Nurse Practitioner | Advocate Health and Hospitals Corporation | 11 E 75th St, Chicago, IL 60619-1601 |
Akilah A Baker | Clinical Social Worker | 7538 S Wabash Ave, Chicago, IL 60619-1608 | |
Sheldon Ceaser | Internal Medicine | 231 E 75th St, Chicago, IL 60619-2267 | |
Neil L Horsley | Podiatry | 231 E 75th St, Chicago, IL 60619-2267 | |
Bruce Abbott Sayre | Chiropractic | 200 E 75th St, Chicago, IL 60619-2297 | |
Dennis A Prowell | Chiropractic | 200 E 75th St, Chicago, IL 60619-2297 | |
Karen Yvette Douglass | Psychologist, Clinical | 132 E 79th St, Chicago, IL 60619-2302 | |
Pramode Kumar Keshava | Internal Medicine | 7845 S Cottage Gr Ave, Suite 109, Chicago, IL 60619-3100 | |
Tapas Dasgupta | Physical Medicine and Rehabilitation | 7845 S Cottage Gr Ave, Suite 109, Chicago, IL 60619-3100 | |
Penelope Minor | Clinical Social Worker | Specialized Assessing Systems Institute Corp | 8251 S Rhodes Ave, Chicago, IL 60619-5005 |
Find all physicians in zip 60619 |
City | CHICAGO |
Zip Code | 60619 |
Specialty | INTERNAL MEDICINE |
City + Specialty | CHICAGO + INTERNAL MEDICINE |
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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.