Individual
DR. CHARLES ZUGERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 E DELAWARE PL, STE 501, CHICAGO, IL 60611-1666
(312) 626-1759
Mailing address
201 E HURON ST, STE 11-250, CHICAGO, IL 60611-2968
(312) 337-4020
(312) 587-9001
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
3650426
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031600045
BLUE CROSS NUMBER
IL
05
—
03650426
—
IL
Enumeration date
09/20/2006
Last updated
01/16/2018
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