Individual
AGATA OCZKO-DANGUILAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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
207R00000X
Internal Medicine Physician
Primary
036112877
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112877
—
IL
Enumeration date
11/29/2006
Last updated
08/03/2024
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