Mantzas, Agnieszka Magdalena

Mantzas, Agnieszka Magdalena is an sole proprietor health care provider with primary practice located at 132 W Lake Street #7 , Bloomingdale IL 60108. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mantzas, Agnieszka Magdalena can be contacted via phone (224) 542-9900.

Contact Information

Primary practice address
132 W Lake Street #7 Bloomingdale IL 60108
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1356013866
LBN Legal business name Mantzas, Agnieszka Magdalena
Credentials LCPC, CEAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2021
Last updated Oct 3rd, 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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