Richard Ilog
NPI #1225880925 in Springfield, Virginia
Provider Information
- NPI Number
- 1225880925
- Entity Type
- Individual
- Name
- Richard Ilog
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Apr 4, 2024
- Last Updated
- Apr 4, 2024
Practice Location
- Address
- 7026 COMMERCE ST
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22150-3433
- Phone
- (301) 728-4956
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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