Provider Demographics
NPI:1851691158
Name:DRAGOS, JOHN EDWARD III (R EP T, CNIM)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:EDWARD
Last Name:DRAGOS
Suffix:III
Gender:M
Credentials:R EP T, CNIM
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Mailing Address - Street 1:1036 LUNDVALL AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-3338
Mailing Address - Country:US
Mailing Address - Phone:815-980-7563
Mailing Address - Fax:815-977-5149
Practice Address - Street 1:1036 LUNDVALL AVE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-3338
Practice Address - Country:US
Practice Address - Phone:815-980-7563
Practice Address - Fax:815-977-5149
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic