# I & L PROFESSIONAL MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760409593
- **Authorized official:** DR. INNOCENT E. AGBASSI MD (PRESIDENT)
- **Authorized official phone:** (313) 282-4527

## Contact information

- **Practice address:** 15357 FARMINGTON RD, SUITE 2, LIVONIA, MI 48154-2847
- **Practice address phone:** (734) 266-3565
- **Mailing address:** 15357 FARMINGTON RD, SUITE 2, LIVONIA, MI 48154-2847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301075373 | MI | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 06/17/2016