Provider Demographics
NPI:1841486297
Name:DRAGOS, MARIA (ARDMS)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:DRAGOS
Suffix:
Gender:F
Credentials:ARDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6846 LATROBE AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3415
Mailing Address - Country:US
Mailing Address - Phone:847-674-1341
Mailing Address - Fax:847-674-1602
Practice Address - Street 1:6846 LATROBE AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-3415
Practice Address - Country:US
Practice Address - Phone:847-674-1341
Practice Address - Fax:847-674-1602
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2471S1302X2471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01634691OtherBLUECROSS BLUESHIELD