OrganizationActive
Agata Oczko Danguilan MD Sc
NPI 1114076791 · Primary Care Clinic/Center · Grayslake, IL
Provider details
- NPI number
- 1114076791
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Agata Oczko-Danguilan, President
- License
- 036112877 (IL)
Practice location
61 S Seymour Ave
Grayslake, IL 60030-1541
Phone: (847) 546-5600
Fax: (847) 546-5603
Mailing address
61 S Seymour Ave
Grayslake, IL 60030-1541
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2024-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.