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Search › Illinois › 225700000X

Sergey Dergachev

NPI 1841525656 · on the registry since 2009 · sole proprietor

Practice

Address
9933 Lawler Ave
Suite 520
Skokie, IL 60077
Phone
(847) 763-1775
Organisation at this address
Wendy Shorr
Ella Komarovsky Md
Urban Dental, Ltd.
Fabio Ortega Md Sc
Untangled Thoughts
Inferred from a shared address, not stated in the registry.
Clinicians at this address
55

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-10-12

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 Illinois