Organization Active NPI

I&L Medical Group & Associates

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1457527582
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301075373 Issued in MI
Legal business name
I&L MEDICAL GROUP & ASSOCIATES
Practice address
14438 W McNichols Rd
Detroit, MI 48235-3916
Phone
(313) 861-0073
Fax
(313) 861-0027
NPI assigned
May 8, 2008
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
I & L PROFESSIONAL MEDICAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Innocent E. Agbassi, MD
Title
Owner
Phone
(313) 861-0073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4301075373 MI Primary

Addresses

Primary practice location

14438 W McNichols Rd
Detroit, MI 48235-3916

Mailing address

21700 Greenfield Rd
Suite 271
Oak Park, MI 48237-2581
Phone (248) 967-8520

National Provider Directory

National Provider Directory
Part of
I L Professional Services

Locations

14438 W McNichols Rd
Detroit, MI 48235
Phone (313) 342-3131

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1457527582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 GREENFIELD RD",
            "address_2": "SUITE 271",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372581",
            "telephone_number": "248-967-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14438 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353916",
            "telephone_number": "313-861-0073",
            "fax_number": "313-861-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I&L MEDICAL GROUP & ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "I & L PROFESSIONAL MEDICAL SERVICES",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "AGBASSI",
        "authorized_official_first_name": "INNOCENT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-861-0073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301075373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.