Individual
CHRISTINE AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 S DAMEN AVE, SUITE 210, CHICAGO, IL 60608-1169
(773) 292-4800
(773) 384-7053
Mailing address
1340 S DAMEN AVE, SUITE 210, CHICAGO, IL 60608-1169
(773) 292-4800
(773) 384-7053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0029955
TN
363L00000X
Nurse Practitioner
LP-0000110
DE
363L00000X
Nurse Practitioner
Primary
SP017422
PA
363LG0600X
Gerontology Nurse Practitioner
LP-0000110
TN
Other
Enumeration date
10/06/2014
Last updated
04/14/2020
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