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Individual

VINCENT P ZUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
619 E MASON ST, SUITE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
(217) 525-2535
Mailing address
619 E MASON ST, SUITE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
(217) 525-2535

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
036-091764
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036091764
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036091764
IL
01
060031141
RAILROAD
IL
Enumeration date
10/24/2006
Last updated
12/22/2021
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