Agosto, Stacy L
Agosto, Stacy L is an sole proprietor health care provider with primary practice located at 5508 W Hutchinson St , Chicago IL 60641-1318. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Agosto, Stacy L can be contacted via phone (815) 575-9851.Contact Information
Primary practice address
5508 W Hutchinson St
Chicago IL 60641-1318
Phone: (815) 575-9851
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149016461 | Illinois |
Profile Details
| NPI number | 1144661158 |
|---|---|
| LBN Legal business name | Agosto, Stacy L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2013 |
| Last updated | Nov 20th, 2023 - about last year |
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.
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