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Individual

DR. IVICA VUCIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1420 RENAISSANCE DR STE 307, PARK RIDGE, IL 60068-1343
(847) 803-1000
(847) 803-1098
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
25MA08692200
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
036114812
IL
2085R0202X
Diagnostic Radiology Physician
25MA08692200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03197591
NY
Enumeration date
01/14/2008
Last updated
03/06/2026
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