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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1306171772 | NPPES |
| Illinois | Other | 01623882 | BC/BS |
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