Individual
DR. IRINA GONCHAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
03611663
IL
2086S0129X
Vascular Surgery Physician
Primary
49279
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.111663
ILL LIC
IL
05
—
34885400
—
WI
01
—
49279-20
WI LIC
WI
Enumeration date
07/05/2006
Last updated
06/18/2026
Update your record
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