Individual
GREGORY P BOGDONOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
21120 WASHINGTON PKWY, FRANKFORT, IL 60423-3112
(815) 469-9750
(815) 469-9752
Mailing address
21120 WASHINGTON PKWY, FRANKFORT, IL 60423-3112
(815) 469-9750
(815) 469-9752
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036076482
IL
207L00000X
Anesthesiology Physician
Primary
036076482
IL
Other
Enumeration date
06/12/2006
Last updated
01/28/2025
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