Provider Demographics
NPI:1003901067
Name:ZUCKER & ZUCKER PC
Entity type:Organization
Organization Name:ZUCKER & ZUCKER PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:ZUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-778-0573
Mailing Address - Street 1:244 ARROWWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-1039
Mailing Address - Country:US
Mailing Address - Phone:847-778-0573
Mailing Address - Fax:708-452-4593
Practice Address - Street 1:244 ARROWWOOD DR
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1039
Practice Address - Country:US
Practice Address - Phone:847-509-1320
Practice Address - Fax:847-509-1320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL016003543Medicaid
IL016003702Medicaid
IL016004306Medicaid
ILT39087Medicare UPIN