NPI Profile for SUSAN M BUCK in WINFIELD, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
163WP0200X | |||
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI Number | 1841436664 |
|
| Status | Active | |
| Credentials | MS, APN, CPNP | |
| Entity | Individual | |
| Enumeration date | 12/29/2008 | |
| Last updated | 12/29/2008 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SUSAN M BUCK
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