Agos, Andrew Steve

Agos, Andrew Steve is an individual health care provider with primary practice located at 5140 N California Ave Suite 780, Chicago IL 60625-3645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Agos, Andrew Steve can be contacted via phone (773) 273-6810.

Contact Information

Primary practice address
5140 N California Ave Suite 780 Chicago IL 60625-3645
Phone: (773) 273-6810
Fax: (773) 273-5532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036093418 Illinois

Profile Details

NPI number 1861403891
LBN Legal business name Agos, Andrew Steve
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Feb 10th, 2021 - about 5 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 1861403891 NPPES
Illinois Other 0001630046 BCBS OF IL GROUP NUMBER
Illinois MEDICAID 036093418 1 BCBS OF IL GROUP NUMBER
Illinois MEDICAID 036093418 2 BCBS OF IL GROUP NUMBER

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