Individual provider · Type 1 NPI
Emanuel Agosto
Driver · Chicago, IL
NPI number
1891140067
Active
Practice location
6109 W Barry Ave
Chicago, IL 60634-4030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | A22321075177 (IL) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1891140067
Emanuel Agosto's National Provider Identifier is 1891140067, issued on Apr 25, 2016. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Chicago, IL. The record was last updated on Apr 25, 2016.