Sergey Viktorovich Dergachev, | |
9933 Lawler Ave, Suite 520, Skokie, IL 60077-3703 | |
(847) 763-1775 | |
Not Available |
Full Name | Sergey Viktorovich Dergachev |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 9933 Lawler Ave, Skokie, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841525656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 227.004427 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Sergey Viktorovich Dergachev, 1694 Hopi Trl, Wheeling, IL 60090-5126 Ph: (847) 334-9110 | Sergey Viktorovich Dergachev, 9933 Lawler Ave, Suite 520, Skokie, IL 60077-3703 Ph: (847) 763-1775 |
Ms. Idania Villarreal, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8424 Skokie Blvd, Suite 207, Skokie, IL 60077 Phone: 847-677-9355 | |
Vrc Massage & Wellness Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8850 Skokie Blvd, Suite 100, Skokie, IL 60077 Phone: 847-423-2940 | |
Mirela Citu, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8214 Monticello Ave, Skokie, IL 60076 Phone: 312-316-3373 |