Individual
VLADISLAV I GORENGAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5101 WILLOW SPRINGS RD, LA GRANGE, IL 60525-2600
(708) 245-9000
Mailing address
5101 WILLOW SPRINGS RD, LA GRANGE, IL 60525-2600
(798) 245-9000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036113511
IL
Other
Enumeration date
05/30/2006
Last updated
08/04/2021
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