person
Dr. Gary John Vicik, MD
Specialist in Belleville, Illinois
NPI 1295708212

Gary John Vicik is a Specialist based in Belleville, IL. Gary John Vicik practices in Belleville, IL and has the professional credentials of MD. The NPI Number for Gary John Vicik is 1295708212 and holds a License No. 36-49185 (Illinois).

The current practice location address for Gary John Vicik is 3608 W Main St, Belleville, IL and can be reached out via phone at 618-397-6605 and via fax at 618-277-1251.

Location: 3608 W Main St, Belleville, IL, 62226-6225
person
Provider Profile Details
NPI Number
1295708212
Provider Name
Gary John Vicik
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3608 W Main St, Belleville, IL, 62226-6225
Phone Number
618-397-6605
Fax Number
618-277-1251
Provider Enumeration Date
02/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0778106 01 AETNA
42561V34432 01 GROUP HEALTH PLAN
8215117 01 IL BLUE SHIELD
036049185 05 IL
42561V34432 01 ADVANTRA
STL0307017 01 UNITED HEALTHCARE
101263 01 HEALTHLINK
202982 01 GREAT WEST
11512 01 ESSENCE
institution
Provider Business Practice Location Address Details
Address
3608 W Main St
City
State
Zip
62226-6225
Phone Number
618-397-6605
Fax Number
618-277-1251
person
Provider Business Mailing Address Details
Address
3608 W Main St
City
State
Zip
62226-6225
Phone Number
618-397-6605
Fax Number
618-277-1251
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
36-49185 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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