Search › Virginia › 253Z00000X
Richard Ilog
NPI 1225880925 · on the registry since 2024 · sole proprietor
Practice
- Address
- 7026 Commerce St
Springfield, VA 22150 - Phone
- (301) 728-4956
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia