Agnes Agustin Luz , SA-C
Physician Assistant - Surgical • Naperville, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Agnes Luz has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Agnes Luz, SA-C was a registered Physician Assistant - Surgical practicing in Naperville, IL. Throughout an active medical career spanning 14 years, Agnes Luz provided care at the practice location at 608 S WASHINGTON ST until profile deactivation on 2024-08-28.
Practice Location & Contact Primary Location
608 S Washington St
Naperville, IL 605406663
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant - Surgical in Naperville, IL
Practicing in Naperville, IL (609 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363AS0400X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant - Surgical
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 28, 2024
NPI status registered as active in NPPES database
Registered at 608 S WASHINGTON ST, NAPERVILLE, IL 605406663 (Tel: 6303696200)
Registered at 662 BERKLEY DR, ROMEOVILLE, IL 604464178 (Tel: 8158860607)
Recorded as AGNES LUZ, SA-C
Physician Assistant (License #06-190 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
662 Berkley Dr
Romeoville, IL 604464178
Phone: 8158860607
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