Abegail B Sumagui, PA-C
Physician Assistant in Chicago, IL. Individual provider (NPI-1).
NPI number1245937366
StatusActive
Last updated in NPPESFeb 10, 2023
Details
- NPI
- 1245937366
- Entity type
- Individual (NPI-1)
- Name
- Abegail B Sumagui
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2023
- Certification date
- Feb 10, 2023
- Last updated
- Feb 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
5801 W Corcoran PlaceApt 1
Chicago, IL 60644
Phone 815-919-9917
Mailing address
4626 N Hamlin Ave Apt 1Chicago, IL 60625-9555
Phone 815-919-9917
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