Provider Demographics
NPI:1003901067
Name:ZUCKER & ZUCKER PC
Entity Type:Organization
Organization Name:ZUCKER & ZUCKER PC
Other - Org Name:COMPLETE FOOT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEB
Authorized Official - Middle Name:G
Authorized Official - Last Name:SILBERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-821-0743
Mailing Address - Street 1:981 PINETREE CIR S
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-7502
Mailing Address - Country:US
Mailing Address - Phone:847-541-2922
Mailing Address - Fax:847-541-2990
Practice Address - Street 1:981 PINETREE CIR S
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-7502
Practice Address - Country:US
Practice Address - Phone:847-541-2922
Practice Address - Fax:847-541-2990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILT38005Medicare UPIN
ILT37837Medicare UPIN
IL921880Medicare ID - Type UnspecifiedCOMPLETE FOOT CARE
ILT39087Medicare UPIN