Provider Demographics
NPI:1275748147
Name:ALAGIOZIAN-ANGELOVA, VICTORIA MISSAK (MD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MISSAK
Last Name:ALAGIOZIAN-ANGELOVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5004 ELM ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-2552
Mailing Address - Country:US
Mailing Address - Phone:847-677-2452
Mailing Address - Fax:
Practice Address - Street 1:5004 ELM ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-2552
Practice Address - Country:US
Practice Address - Phone:847-677-2452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-13
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36113524207ZH0000X
IL036-113524207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology