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JOHN BUCZYNA, MD – NPI #1952352031
Diagnostic Radiology

NPI Profile for Dr JOHN BUCZYNA in KANKAKEE, IL.

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Contact Information

JOHN BUCZYNA, MD
350 N WALL ST
KANKAKEE, IL  60901-2991
 Phone: 815-933-1671
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

 2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

 2085N0700X
Indicates primary specialty

NPI Profile & details for JOHN BUCZYNA · (Male)

NPI # 1952352031
Status Active
Credentials MD
Entity Individual
Enumeration date 05/13/2006
Last updated 01/03/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-112223
  • WI License # 44045
Hospital affiliation(s)
  • RIVERSIDE MEDICAL CENTER - (Acute Care)
    350 N WALL ST
    KANKAKEE, IL 60901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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