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Contact Information

ALEX J BUIVIDAS & THOMAS A BUIVIDAS PTR
4554 S ARCHER AVE
CHICAGO, IL60632-2954
 Phone: 773-847-6784
 Fax: 773-847-6883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ALEX J BUIVIDAS THOMAS A BUIVIDAS PTR · (Female)

NPI # 1174666192
Status Active
Credentials
Entity Individual
Enumeration date 02/15/2007
Last updated 09/11/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 016002967
  • IL Medicaid 016002967
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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