Kravtsov, Valerian
Kravtsov, Valerian is an sole proprietor health care provider with primary practice located at 1645 S Des Plaines River Rd Suite 14, Des Plaines IL 60018. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Kravtsov, Valerian can be contacted via phone (847) 361-4971.Contact Information
Primary practice address
1645 S Des Plaines River Rd Suite 14
Des Plaines IL 60018
Phone: (847) 361-4971
Fax: (847) 296-2922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | Illinois |
Profile Details
| NPI number | 1629113709 |
|---|---|
| LBN Legal business name | Kravtsov, Valerian |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Oct 11th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629113709 | NPPES |
| Illinois | Other | 1622831 | BCBS PROVIDER # |
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