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NPI Code Detail

MEDICARE: FILIMON RAMOS PHYSICIAN ASSISTANT

MEDICARE: FILIMON RAMOS PHYSICIAN ASSISTANT
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
1363A00000XPhysician Assistant10001098AIN
2363A00000XPhysician Assistant085-003731IL

General Provider Information

NPI Number : 1962738914
Entity Type Code : Individual
Provider Name (Legal Business Name) : FILIMON RAMOS PHYSICIAN ASSISTANT
Provider Business Mailing Address
First Line : PO BOX 59
Second Line : 1313 W. CHICAGO AVE
City : EAST CHICAGO
State : IN
Zip : 46312-0059
Country : US
Telephone Number : 219-397-1196
Fax Number : 219-392-4958
Provider Business Practice Location Address
First Line : 1313 W CHICAGO AVE
Second Line :
City : EAST CHICAGO
State : IN
Zip : 46312-3316
Country : US
Telephone Number : 219-397-1196
Fax Number : 219-392-4958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2009
Last Update Date : 09/14/2022

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