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Individual

GRADIMIR B. VUCKOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
550 W WEBSTER AVE, CHICAGO, IL 60614-3965
(773) 883-2000
Mailing address
39222 TREASURY CTR, CHICAGO, IL 60694-9900

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036049731
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01636129
BCBS IL
IL
05
036049731
IL
Enumeration date
06/26/2006
Last updated
07/30/2010
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