Individual
DR. CHUCK RICHARD VRASICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 S MCHENRY RD, BUFFALO GROVE, IL 60089-6705
(847) 618-0351
(847) 618-0766
Mailing address
15 S MCHENRY RD, BUFFALO GROVE, IL 60089-6705
(847) 618-0351
(847) 618-0766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0078759
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036151164
STATE LICENSE
IL
Enumeration date
06/29/2011
Last updated
10/05/2021
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