GARY G BUCHER (NPI# 1770664856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770664856 |
Entity Type | Individual |
Full Name | GARY G BUCHER |
Credential | MD |
Practice Address |
2551 N Clark St Suite 203 Chicago IL 60614-1798 |
Mailing Address |
3023 N Clark St # 200 Chicago IL 60657-5200 |
Practice Telephone | 3126232625 |
Practice Fax Number | 7732890685 |
Mailing Telephone | 7733271600 |
Mailing Fax Number | 7733276622 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-07-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
036-087460 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS BLUE SHEILD | 1622085 | 01 |
Street Address |
2551 N CLARK ST SUITE 203 |
City | CHICAGO |
State | IL |
Zip Code | 60614-1798 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154304848 | Aaron Thomas Donnell | Allergy & Immunology | 2551 N Clark St, Suite 100, Chicago, IL 60614-1798 | 2005-11-28 |
1447858683 | Jazmine Hudson | Durable Medical Equipment & Medical Supplies | 2551 N Clark St, Chicago, IL 60614-1798 | 2020-10-10 |
1306245782 | Neel French Md, Sc | Internal Medicine | 2551 N Clark St, Suite 303, Chicago, IL 60614-1798 | 2014-08-21 |
1629408646 | Kathryn Herrera | Acupuncturist | 2551 N Clark St, Suite 605, Chicago, IL 60614-1798 | 2013-11-13 |
1619304433 | Nicholas Skasa | Counselor | 2551 N Clark St, Suite 800, Chicago, IL 60614-1798 | 2013-10-11 |
1730526229 | Gabriel Sim | Dentist | 2551 N Clark St, Suite 404, Chicago, IL 60614-1798 | 2013-05-24 |
1053755801 | Chicago Dental Partners, LLC | Public Health or Welfare | 2551 N Clark St, Suite 600, Chicago, IL 60614-1798 | 2013-04-23 |
1487991337 | Urban Brain and Body, LLC | Counselor | 2551 N Clark St, 8th Floor, Chicago, IL 60614-1798 | 2013-01-12 |
1023352382 | Kelly Jane Martin | Counselor | 2551 N Clark St, Suite 800, Chicago, IL 60614-1798 | 2012-11-26 |
1720364953 | Noah Ryan Goss | Physician Assistant | 2551 N Clark St, 203, Chicago, IL 60614-1798 | 2011-11-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
Find all providers in zip 60614 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
1447666318 | M & F Medical Services, Ltd | Family Medicine | 5642 N Christiana Ave, Chicago, IL 60659-4555 | 2014-07-10 |
1457767774 | Rambha Radhakrishnan | Family Medicine | 2645 W Peterson Ave, Chicago, IL 60659-4017 | 2014-07-08 |
1730444639 | Iqbal S Husain | Family Medicine | 6936 N Chicora Ave, Chicago, IL 60646-1508 | 2012-07-07 |
1033480413 | Healthworks Integrative Medical Clinic | Family Medicine | 1165 N Clark St Ste 608, Chicago, IL 60610-7848 | 2012-01-18 |
1518123843 | Nastane Le Bec | Family Medicine | 6225 S Kenwood Ave Apt 1s, Chicago, IL 60637-3766 | 2008-08-06 |
1639372410 | Albert R Rosanova Jr Ltd | Family Medicine | 5510 W Montrose Ave, Chicago, IL 60641-1330 | 2007-06-07 |
1386860997 | Mariya Dmytriv-kapeniak | Family Medicine | 2540 W Chicago Ave, Chicago, IL 60622-5019 | 2007-04-18 |
1255462578 | Roberto Diaz | Family Medicine | 1805 S Ashland Ave, Chicago, IL 60608-2805 | 2007-03-08 |
1386784346 | Carroll Edward Smith | Family Medicine | 4215 S King Dr, Chicago, IL 60653-2663 | 2007-02-07 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.