Individual provider
MR. EMMANUEL N AGOMO, PA-C
CMS NPPES lists MR. EMMANUEL N AGOMO as an individual provider record with NPI 1093760514. The current record reports a primary practice location in ADDISON, IL and primary taxonomy code 363AM0700X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location240 E LAKE STSUITE 200ADDISON, IL 601012890
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
363AM0700XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- May 23, 2006
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.