Vucic, Ivica
Vucic, Ivica is an sole proprietor health care provider with primary practice located at 1000 N Westmoreland Rd , Lake Forest IL 60045-1658. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Vucic, Ivica can be contacted via phone (847) 234-5600.Contact Information
Primary practice address
1000 N Westmoreland Rd
Lake Forest IL 60045-1658
Phone: (847) 234-5600
Fax: (847) 535-7847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 25MA08692200 | New Jersey |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA08692200 | New Jersey |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036114812 | Illinois |
Profile Details
| NPI number | 1871779371 |
|---|---|
| LBN Legal business name | Vucic, Ivica |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2008 |
| Last updated | Aug 7th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871779371 | NPPES |
| New York | MEDICAID | 03197591 |
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