Individual
PROF. LOU AGOSTA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
SHERIDAN ROAD, CHICAGO, IL 60660
(773) 506-9511
Mailing address
5801 N SHERIDAN RD, 8C, CHICAGO, IL 60660-3800
(773) 203-0269
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
12/30/2014
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