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Gary Vicik, M.D
NPI 1295708212 · on the registry since 2006
Practice
- Address
- 3608 W Main St
Belleville, IL 62226 - Phone
- (618) 397-6605
- Fax
- (618) 277-1251
- Organisation at this address
- William Lay
Dermassociates LtdInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-21
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois