Whalio Doctors

NPI 1295708212

Gary John Vicik, MD

Practitioner Specialist Belleville, IL

Practice location

Address
3608 W Main St, Belleville, IL 62226-6225
Phone
(618) 397-6605
Fax
(618) 277-1251

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 36-49185 (IL)

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.