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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD ILOG

Active Sole Proprietor

RICHARD ILOG is a In Home Supportive Care Agency healthcare provider located in SPRINGFIELD, Virginia. NPI 1225880925 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · SPRINGFIELD, VA

Registration Details

NPI Number
1225880925
Provider Type
Individual
Gender
Male
NPI Issued
Apr 4, 2024 (2.3973049856797 yrs)
Last Updated
Apr 4, 2024
License
8983 (VA)
Sole Proprietor
Yes

Practice Information

Address
7026 COMMERCE ST
SPRINGFIELD, VA, 221503433
Browse VA providers · Browse ZIP 22150
Phone
3017284956
Primary Specialty
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.