Gregory P Bogdonoff in Frankfort - Specialist
Gregory P Bogdonoff - NPI 1669414900
Gregory P Bogdonoff is a Specialist in Frankfort, Illinois. Gregory P Bogdonoff practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gregory P Bogdonoff is 1669414900. The last update date is 2013-04-04.
Gregory P Bogdonoff's current location address is 21120 Washington Pkwy, Frankfort, Illinois. You can contact this provider via phone number 8154699750 and fax number 8154699752. The mailing address for Gregory P Bogdonoff is 21120 Washington Pkwy, Frankfort, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory P Bogdonoff |
|---|---|
| Address | 21120 Washington Pkwy, Frankfort, Illinois |
| Phone Number | 8154699750 |
| Fax Number | 8154699752 |
| Sole Proprietor | Y |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1669414900 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2013-04-04 |
Provider Mailing Address Detail
| Address | 21120 Washington Pkwy |
|---|---|
| City | Frankfort |
| State | Illinois (IL) |
| Post Code | 604233112 |
| Phone Number | 8154699750 |
| Fax Number | 8154699752 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36076482 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identification code issued to Gregory P Bogdonoff by the Centers for Medicare & Medicaid Services?
The Gregory P Bogdonoff has been assigned the NPI (National Provider Identifier) 1669414900 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Gregory P Bogdonoff is physically located?
The Gregory P Bogdonoff is physically situated at the following address: 21120 Washington Pkwy, Frankfort, IL, 604233112.
What is the Gregory P Bogdonoff's specialty and taxonomy code?
The Gregory P Bogdonoff's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669414900 to Gregory P Bogdonoff?
The Gregory P Bogdonoff received its 1669414900 assignment from the Centers for Medicare & Medicaid Services on 2006-06-12.
When was the information regarding Gregory P Bogdonoff, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gregory P Bogdonoff, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-04-04.