Agos, Andrew Steve
Agos, Andrew Steve is an individual health care provider with primary practice located at 5140 N California Ave Suite 780, Chicago IL 60625-3645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Agos, Andrew Steve can be contacted via phone (773) 273-6810.Contact Information
Primary practice address
5140 N California Ave Suite 780
Chicago IL 60625-3645
Phone: (773) 273-6810
Fax: (773) 273-5532
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036093418 | Illinois |
Profile Details
NPI number | 1861403891 |
---|---|
LBN Legal business name | Agos, Andrew Steve |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2006 |
Last updated | Feb 10th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861403891 | NPPES |
Illinois | Other | 0001630046 | BCBS OF IL GROUP NUMBER |
Illinois | MEDICAID | 036093418 1 | BCBS OF IL GROUP NUMBER |
Illinois | MEDICAID | 036093418 2 | BCBS OF IL GROUP NUMBER |
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