Individual
RIGOBERTO ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5517 N KENMORE AVE, CHICAGO, IL 60640-1515
(773) 275-7962
(773) 561-5497
Mailing address
3800 N WESTERN AVE, APT 2, CHICAGO, IL 60618-3723
(773) 531-8262
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.119637
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932318920
—
IL
Enumeration date
02/28/2016
Last updated
02/28/2016
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