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Contact Information

MONICA S BUCKNER, MD
3473 S. MARTIN LUTHER KING DRIVE
#494
CHICAGO, IL60616-4108
 Phone: 773-358-8295
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MONICA S BUCKNER · (Female)

NPI Number 1093102758
Status Active
Credentials MD
Entity Individual
Enumeration date 04/21/2015
Last updated 03/28/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036146924
Hospital affiliation(s) Not Available
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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