DAVID P. AGBUNAG PA-C NPI 1093885188

NPI Information

David P. Agbunag, PA-C is a surgical physician assistant in Chicago, IL. David P. Agbunag, PA-C NPI is 1093885188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1725 W HARRISON ST
#1063
CHICAGO, IL
ZIP 60612-841
Phone: (312) 243-4244
Fax: (312) 243-2744

The NPI 1093885188 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 7/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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