Individual
FRANK VICARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1675 DEMPSTER ST FL 3, PARK RIDGE, IL 60068-1110
(847) 318-9330
(847) 723-9457
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036068514
IL
2086S0120X
Pediatric Surgery Physician
036068514
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068514
—
IL
01
—
1627123
BCBS PROVIDER ID
IL
Enumeration date
09/16/2005
Last updated
09/26/2022
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