Individual
MR. KAVORK EDWARD HAGOPIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 990-2147
Mailing address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 990-2147
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
225100000X
IL
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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