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Sergey Viktorovich Dergachev
Massage Therapist in Skokie, Illinois
NPI 1841525656

Sergey Viktorovich Dergachev is a Massage Therapist based in Wheeling, IL. Sergey Viktorovich Dergachev practices in Skokie, IL. The NPI Number for Sergey Viktorovich Dergachev is 1841525656 and holds a License No. 227.004427 (Illinois).

The current practice location address for Sergey Viktorovich Dergachev is 9933 Lawler Ave, Skokie, IL and can be reached out via phone at 847-763-1775.

Location: 9933 Lawler Ave, Skokie, IL, 60090-5126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841525656
Provider Name
Sergey Viktorovich Dergachev
Credential
Provider Entity Type
Individual
Gender
Male
Address
9933 Lawler Ave, Skokie, IL, 60090-5126
Phone Number
847-763-1775
Fax Number
Provider Enumeration Date
10/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9933 Lawler Ave
City
Skokie
State
Illinois
Zip
60077-3703
Phone Number
847-763-1775
Fax Number
person
Provider Business Mailing Address Details
Address
9933 Lawler Ave
City
Skokie
State
Illinois
Zip
60077-3703
Phone Number
847-763-1775
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227.004427 (Illinois)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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