Individual
ABRAHAM BOGACHKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 N RANDALL RD, ELGIN, IL 60123-2300
(224) 783-8732
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.149634
IL
2085R0202X
Diagnostic Radiology Physician
74637
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992195697
—
WI
Enumeration date
02/02/2015
Last updated
03/04/2026
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