Individual provider · Type 1 NPI

Sergey Viktorovich Dergachev

Massage Therapist · Skokie, IL

NPI number 1841525656 Active

Practice location

9933 Lawler Ave, Suite 520
Skokie, IL 60077-3703

Call (847) 763-1775 Map

Mailing address

1694 Hopi Trl
Wheeling, IL 60090-5126

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227.004427 (IL)

Massage Therapist: 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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About NPI 1841525656

Sergey Viktorovich Dergachev's National Provider Identifier is 1841525656, issued on Oct 12, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Skokie, IL. The record was last updated on Oct 12, 2009.