SERGEY VIKTOROVICH DERGACHEV
NPI 1841525656
Massage Therapist in Skokie, IL

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

Active since October 12, 2009

9933 LAWLER AVE, SUITE 520, SKOKIE, IL 60077(847) 763-1775 Get Directions Write a Review

NPPES record last updated: October 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Sergey Viktorovich Dergachev NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERGEY VIKTOROVICH DERGACHEV (NPI 1841525656) is an individual massage therapist in Skokie, Illinois, licensed in Illinois (227.004427) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1841525656

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameSERGEY VIKTOROVICH DERGACHEV

Location Address9933 LAWLER AVE, SUITE 520Skokie, IL 60077-3703

Mailing Address1694 Hopi TrlWheeling, IL 60090-5126 · (847) 334-9110

Phone(847) 763-1775

Sole ProprietorYes

Enumeration DateOctober 12, 2009

✔ NPI 1841525656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in IL · 227.004427

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

9933 LAWLER AVE, Skokie, IL 60077

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