Individual
DR. CHARLES ZUGERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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