Individual
DR. ANTON GARAZHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7200
(314) 747-4189
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.176639
IL
2085R0202X
Diagnostic Radiology Physician
2025000996
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200158207
—
MO
Enumeration date
05/10/2020
Last updated
06/01/2026
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