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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GARY JOHN VICIK, M.D.

Active

DR. GARY JOHN VICIK, M.D. is a Specialist healthcare provider located in BELLEVILLE, Illinois. NPI 1295708212 is currently active in the NPPES registry. Verify at CMS.

Specialist · BELLEVILLE, IL

Registration Details

NPI Number
1295708212
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2006 (20.474765319035 yrs)
Last Updated
May 21, 2012
License
36-49185 (IL)

Practice Information

Address
3608 W MAIN ST
BELLEVILLE, IL, 622266225
Browse IL providers · Browse ZIP 62226
Phone
6183976605
Fax
6182771251
Primary Specialty
Specialist
174400000X

Other Specialist Providers in BELLEVILLE, IL

Name Credential NPI
MR. RAVI KUMAR MD 1851397319
DR. MARK S FELDMAN M.D. 1497735708
VIRGILIO T GUZMAN MD 1205946738
MICHELLE LYNN WESSEL P.T. 1457471583
MRS. KAREN LYNN BASSIMER 1003015942
MRS. CATHERINE L DANNENBRINK COTA/L 1952593196
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.