NPI 1053912782

Arthur Popov

Practitioner Driver Grayslake, IL

Practice location

Address: 732 Dillon CT, Grayslake, IL 60030-3374
Phone: (847) 849-6959

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

Other Driver providers in Illinois →

Registry record

NPI: 1053912782
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Nov 2020
Record last updated: 9 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.