Individual
DR. JACK G VUKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036051323
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008100304
BLUE CROSS BLUE SHIELD
—
01
—
0335320001
ADMINA STAR
—
Enumeration date
08/24/2006
Last updated
04/23/2008
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