Barczak, Agoritsa Renee

Barczak, Agoritsa Renee is an sole proprietor health care provider with primary practice located at 757 E Fabyan Pkwy , Batavia IL 60510-1403. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is her primary health care specialty. Barczak, Agoritsa Renee can be contacted via phone (630) 444-1085.

Contact Information

Primary practice address
757 E Fabyan Pkwy Batavia IL 60510-1403
Phone: (630) 444-1085
Fax: (630) 262-4484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.008462 Illinois
Behavioral Health & Social Service Providers / Forensic 103TF0200X 071.008462 Illinois

Profile Details

NPI number 1306171772
LBN Legal business name Barczak, Agoritsa Renee
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2009
Last updated Feb 13th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306171772 NPPES
Illinois Other 01623882 BC/BS

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