Acosta, Rigoberto

Acosta, Rigoberto is an individual health care provider with primary practice located at 5517 N Kenmore Ave , Chicago IL 60640-1515. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Acosta, Rigoberto can be contacted via phone (773) 275-7962.

Contact Information

Primary practice address
5517 N Kenmore Ave Chicago IL 60640-1515
Phone: (773) 275-7962
Fax: (773) 561-5497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043.119637 Illinois

Profile Details

NPI number 1891155255
LBN Legal business name Acosta, Rigoberto
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2016
Last updated Feb 28th, 2016 - about 9 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 1891155255 NPPES
Illinois MEDICAID 1932318920

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