Individual
BORUCH ZUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9650 GROSS POINT RD STE 4900, SKOKIE, IL 60076
(847) 864-3278
(847) 676-1727
Mailing address
9650 GROSS POINT RD STE 4900, SKOKIE, IL 60076-1214
(847) 864-3278
(847) 676-1727
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036121030
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036121030
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121030
—
IL
01
—
1635694
BCBS
IL
Enumeration date
02/08/2007
Last updated
02/11/2021
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