| Mr Emmanuel N Agomo, PA-C | |
|
240 E Lake St, Suite 200, Addison, IL 60101-2890 | |
| (630) 941-9344 | |
| (630) 941-1486 |
| Full Name | Mr Emmanuel N Agomo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 240 E Lake St, Addison, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093760514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 85002328 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tender Touch Home Health Care, Inc | Skokie, IL | Home health agency |
| Advance Care Home Health, Inc | Niles, IL | Home health agency |
| Healer Of Hope Home Health Care, Inc | Schaumburg, IL | Home health agency |
| Darien Home Healthcare, Inc. | Darien, IL | Home health agency |
| Regal Home Healthcare, Inc | Darien, IL | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forever Care Home Visiting Physicians Inc | 1850631912 | 14 |
| New Southtown Medical Group S C | 0547572349 | 12 |
| Entity Name | New Southtown Medical Group S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134508997 PECOS PAC ID: 0547572349 Enrollment ID: O20150708001267 |
| Entity Name | Forever Care Home Visiting Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851865364 PECOS PAC ID: 1850631912 Enrollment ID: O20190327002314 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Emmanuel N Agomo, PA-C 240 E Lake St, Suite 200, Addison, IL 60101-2890 Ph: (630) 776-1595 | Mr Emmanuel N Agomo, PA-C 240 E Lake St, Suite 200, Addison, IL 60101-2890 Ph: (630) 941-9344 |
Aimee Lynn Naleway, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake St, Addison, IL 60101 Phone: 630-527-3645 |
Rachel Ramirez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 303 W Lake St, Addison, IL 60101 Phone: 630-527-3645 Fax: 331-221-3983 |
Ayesha Fatima, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 714 N Tamarac Blvd, Addison, IL 60101 Phone: 773-563-5572 |
Grace Benstein, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 228 E Lake St, Addison, IL 60101 Phone: 630-835-1430 |
Kristin P Hoge, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 W Lake St, Addison, IL 60101 Phone: 630-527-3645 |
Jose Almendariz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 S Adeline Ave, Addison, IL 60101 Phone: 630-251-2886 |
Valerie Ann Battisti, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 228 E Lake St, Addison, IL 60101 Phone: 630-835-1430 |