NPI 1295708212
Gary John Vicik, MD
Practice location
- Address
- 3608 W Main St, Belleville, IL 62226-6225
- Phone
- (618) 397-6605
- Fax
- (618) 277-1251
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1295708212
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Feb 2006
- Record last updated
- 21 May 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.