Individual
ANDREW STEVE AGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5140 N CALIFORNIA AVE, SUITE 780, CHICAGO, IL 60625-3645
(773) 273-6810
(773) 273-5532
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036093418
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001630046
BCBS OF IL GROUP NUMBER
IL
05
—
036093418 1
—
IL
05
—
036093418 2
—
IL
Enumeration date
08/11/2006
Last updated
02/10/2021
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