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ANDY AGEN DAVIS, MD SC
NPI 1598869224
Internal Medicine - Cardiovascular Disease in Chicago, IL

Active since September 12, 2006
8541 SO STATE STREET, SUITE 8, CHICAGO, IL 60619(773) 874-7711(773) 874-4721 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andy Agen Davis, Md Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDY AGEN DAVIS, MD SC (NPI 1598869224) is a healthcare organization registered as a cardiovascular disease in Chicago, Illinois and active in the NPI registry since September 2006. The organization lists Andrew Agen Davis, President, as its authorized official.

NPPES Registry Identity

NPI1598869224
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameANDREW AGEN DAVIS, MD SC
Location Address8541 SO STATE STREET, SUITE 8Chicago, IL 60619
Mailing Address8541 South State Street, Suite 8Chicago, IL 60619 · (773) 874-7711 · Fax (773) 874-4721
Phone(773) 874-7711
Fax(773) 874-4721
Organization SubpartNo
Authorized OfficialAndrew Agen DavisPresident · (773) 874-7711
Enumeration DateSeptember 12, 2006
Last NPPES UpdateFebruary 6, 2015
✔ NPI 1598869224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IL · 036054434
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
8541 SO STATE STREET, Chicago, IL 60619
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Other Names 1

Other NameAndy Agen Davis, Md Sc

Other Identifiers 4

Medicare PIN619390IL
Medicare PIN214044IL
Medicaid036054434IL
Medicare UPIND13985

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Agen Davis, MD Sc's NPI number?

The NPI number for Andrew Agen Davis, MD Sc is 1598869224. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is also known as Andy Agen Davis, MD Sc.

Where is Andrew Agen Davis, MD Sc located?

Andrew Agen Davis, MD Sc is located at 8541 So State Street Suite 8, Chicago, IL 60619. The listed phone number is (773) 874-7711.

What is Andrew Agen Davis, MD Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Andrew Agen Davis, MD Sc was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.