MEDICARE: OLGA ZUK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	036070498	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K36740	OTHER	IL	MEDICARE PERFORMING PROVIDER ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326046681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLGA ZUK M.D.

Provider Business Mailing Address
First Line	:	6923 W SHAKESPEARE AVE
Second Line	:	#2
City	:	CHICAGO
State	:	IL
Zip	:	60707-3355
Country	:	US
Telephone Number	:	773-385-6529
Fax Number	:	773-385-6673

Provider Business Practice Location Address
First Line	:	5140 N CALIFORNIA AVE
Second Line	:	SUITE 115
City	:	CHICAGO
State	:	IL
Zip	:	60625-3645
Country	:	US
Telephone Number	:	773-989-3803
Fax Number	:	773-878-5726

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	05/24/2011

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Directions to “ OLGA ZUK M.D.” Practice Location

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