Sergey Viktorovich Dergachev
Sergey Viktorovich Dergachev is a Massage Therapist in Skokie, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2009
Practice location Address checks out
9933 Lawler Ave Ste 520Skokie, IL 60077-3703
Phone: (847) 763-1775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 227.004427 (IL) |
|---|
Record details
| NPI number | 1841525656 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 12, 2009 |
| Last updated in NPPES | October 12, 2009 |
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