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NPI Code Detail

MEDICARE: DEMOSTHENES ASUNCION MD

MEDICARE:   DEMOSTHENES  ASUNCION  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician36-096371IL

General Provider Information

NPI Number : 1639192024
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEMOSTHENES ASUNCION MD
Provider Business Mailing Address
First Line : 15 SENECA TRL
Second Line :
City : PANA
State : IL
Zip : 62557-9719
Country : US
Telephone Number : 217-562-4470
Fax Number :
Provider Business Practice Location Address
First Line : 15 SENECA TRL
Second Line :
City : PANA
State : IL
Zip : 62557-9719
Country : US
Telephone Number : 217-562-4470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/08/2007

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Directions to “ DEMOSTHENES ASUNCION MD” Practice Location

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