Individual
DR. VALERIAN KRAVTSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1645 S DES PLAINES RIVER RD, SUITE 14, DES PLAINES, IL 60018
(847) 361-4971
(847) 296-2922
Mailing address
1800 RIDGE AVE, #203, EVANSTON, IL 60201-3696
(847) 361-4971
(847) 296-2922
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622831
BCBS PROVIDER #
IL
Enumeration date
02/20/2007
Last updated
10/11/2007
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