Provider Demographics
NPI:1336515949
Name:VUCKOVICH, ANTHONY JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:VUCKOVICH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9645 LINCOLNWAY LN STE 112
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-1878
Mailing Address - Country:US
Mailing Address - Phone:815-534-5744
Mailing Address - Fax:815-531-5771
Practice Address - Street 1:9645 LINCOLNWAY LN STE 112
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423
Practice Address - Country:US
Practice Address - Phone:815-534-5744
Practice Address - Fax:815-531-5771
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012682111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor