Organization
AGATA OCZKO DANGUILAN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGATA OCZKO-DANGUILAN M.D. (PRESIDENT)
(847) 546-5600
Entity
Organization
Contact information
Practice address
61 S SEYMOUR AVE, GRAYSLAKE, IL 60030-1541
(847) 546-5600
(847) 546-5603
Mailing address
61 S SEYMOUR AVE, GRAYSLAKE, IL 60030-1541
(847) 546-5600
(847) 546-5603
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036112877
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112877
—
IL
Enumeration date
01/10/2007
Last updated
08/03/2024
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