Provider Demographics
NPI:1043678899
Name:OZGEN MOCAN, BURCE (MD)
Entity Type:Individual
Prefix:DR
First Name:BURCE
Middle Name:
Last Name:OZGEN MOCAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BURCE
Other - Middle Name:
Other - Last Name:OZGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2650 N LAKEVIEW AVE APT 1902
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-2954
Mailing Address - Country:US
Mailing Address - Phone:312-358-6988
Mailing Address - Fax:
Practice Address - Street 1:1740 W TAYLOR ST RM 2511
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY (MC931)
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-7232
Practice Address - Country:US
Practice Address - Phone:312-996-8143
Practice Address - Fax:312-413-8296
Is Sole Proprietor?:No
Enumeration Date:2016-02-08
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL113.0000762085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology