Individual
AGNES F KASPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7444 W WILSON AVE, HARWOOD HEIGHTS, IL 60706-4500
(747) 885-1818
(708) 695-5030
Mailing address
102 E CHESTNUT DR, STREAMWOOD, IL 60107-1442
(847) 962-9588
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209019655
IL
363LG0600X
Gerontology Nurse Practitioner
209.019655
IL
Other
Enumeration date
08/20/2019
Last updated
04/24/2026
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