Individual
LAUREN AGOSTINACCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
331 W SURF ST STE 700, CHICAGO, IL 60657-0083
(773) 832-7443
(773) 295-4126
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008177
IL
Other
Enumeration date
04/12/2021
Last updated
04/01/2026
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