Organization
I&L MEDICAL GROUP & ASSOCIATES
Active
Parent organization
I & L PROFESSIONAL MEDICAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
I & L PROFESSIONAL MEDICAL SERVICES
Authorized official
INNOCENT E. AGBASSI MD (OWNER)
(313) 861-0073
Entity
Organization
Contact information
Practice address
14438 W MCNICHOLS RD, DETROIT, MI 48235-3916
(313) 861-0073
(313) 861-0027
Mailing address
21700 GREENFIELD RD, SUITE 271, OAK PARK, MI 48237-2581
(248) 967-8520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301075373
MI
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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