Individual
DR. VIJAY K MAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 N HALSTED ST, STE 500, CHICAGO, IL 60657-5194
(773) 296-5346
(773) 296-5570
Mailing address
1055 HILLCREST RD, GLENCOE, IL 60022-1215
(773) 296-5346
(773) 296-5570
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036045277
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021603676
BLUE CROSS
IL
05
—
036045277
—
IL
Enumeration date
08/24/2006
Last updated
08/17/2016
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