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

SERGEY VIKTOROVICH DERGACHEV

Active Sole Proprietor

SERGEY VIKTOROVICH DERGACHEV is a Massage Therapist healthcare provider located in SKOKIE, Illinois. NPI 1841525656 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · SKOKIE, IL

Registration Details

NPI Number
1841525656
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2009 (16.825164603581 yrs)
Last Updated
Oct 12, 2009
License
227.004427 (IL)
Sole Proprietor
Yes

Practice Information

Address
9933 LAWLER AVE
SUITE 520
SKOKIE, IL, 600773703
Browse IL providers · Browse ZIP 60077
Phone
8477631775
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in SKOKIE, IL

Name Credential NPI
MS. IDANIA VILLARREAL LMT 1407255839
MIRELA CITU 1740885581
JENNIFER S GREEN LMT 1225834989
ILLIA BOBROV 1134001258
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.