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Individual

DIMITRI BAGROV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
1555 BARRINGTON RD, #1400, HOFFMAN ESTATES, IL 60169-1019
(847) 836-7015
Mailing address
14 N DRYDEN PL, ARLINGTON HEIGHTS, IL 60004-6304
(347) 992-0490

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041.418064
IL

Other

Enumeration date
06/05/2016
Last updated
06/05/2016
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