Agosto, Vivian I

Agosto, Vivian I is an sole proprietor health care provider with primary practice located at 6415 Stanley Ave , Berwyn IL 60402-3130. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Agosto, Vivian I can be contacted via phone (708) 995-3815.

Contact Information

Primary practice address
6415 Stanley Ave Berwyn IL 60402-3130
Phone: (708) 995-3815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1699483677
LBN Legal business name Agosto, Vivian I
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2022
Last updated Nov 9th, 2022 - about 2 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.

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