Largosa, Anastacia R
Largosa, Anastacia R is an sole proprietor health care provider with primary practice located at 10448 S Pulaski Rd , Oak Lawn IL 60453-4895. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Largosa, Anastacia R can be contacted via phone (708) 424-7705.Contact Information
Primary practice address
10448 S Pulaski Rd
Oak Lawn IL 60453-4895
Phone: (708) 424-7705
Fax: (708) 424-0502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036057514 | Illinois |
Profile Details
| NPI number | 1750329835 |
|---|---|
| LBN Legal business name | Largosa, Anastacia R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jan 3rd, 2014 - about 10 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 | 1750329835 | NPPES |
| Illinois | MEDICAID | 036057514 |
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