Provider Demographics
NPI:1285868364
Name:GLUNCIC, VICKO (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:VICKO
Middle Name:
Last Name:GLUNCIC
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5145 N CALIFORNIA AVE
Mailing Address - Street 2:SWEDISH COVENANT HOSPITAL, ANESTHESIOLOGY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625
Mailing Address - Country:US
Mailing Address - Phone:773-878-8200
Mailing Address - Fax:773-989-1648
Practice Address - Street 1:5145 N CALIFORNIA AVE
Practice Address - Street 2:SWEDISH COVENANT HOSPITAL, ANESTHESIOLOGY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625
Practice Address - Country:US
Practice Address - Phone:773-878-8200
Practice Address - Fax:773-989-1648
Is Sole Proprietor?:No
Enumeration Date:2009-05-05
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.129218207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology