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Individual

DR. VINCENT ANTHONY KUCICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 S CLINTON ST, 5TH FLOOR, CHICAGO, IL 60607-3800
(312) 793-5013
(312) 793-6313
Mailing address
2132 N DAYTON ST, CHICAGO, IL 60614-4302
(773) 871-0303
(773) 472-0305

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036.057132
IL

Other

Enumeration date
01/03/2012
Last updated
01/03/2012
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