Individual ProviderStacy L AgostoSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5508 W Hutchinson St, Chicago, IL 60641-1318(815) 575-9851PECOS EnrollmentBased on the most recent information from CMS, provider Stacy L Agosto does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1144661158Provider TypeIndividualFull NameAgosto, Stacy LCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date7/8/2013Last Updated11/20/2023Contact InformationPractice LocationPractice Address5508 W Hutchinson St, Chicago, IL 60641-1318Phone(815) 575-9851FaxUnlisted FaxMailing LocationMailing Address5508 W Hutchinson St, Chicago, IL 60641-1318Phone(815) 575-9851FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149016461IllinoisCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer