Healthcare Provider Details

I. General information

NPI: 1073666061
Provider Name (Legal Business Name): BUCHER MEDICAL SERVICES SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2007
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2551 N CLARK ST STE 203
CHICAGO IL
60614-7738
US

IV. Provider business mailing address

3023 N CLARK ST STE 200
CHICAGO IL
60657-5200
US

V. Phone/Fax

Practice location:
  • Phone: 312-623-2625
  • Fax: 773-289-0685
Mailing address:
  • Phone: 312-623-2625
  • Fax: 773-289-0685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number036087460
License Number StateIL

VIII. Authorized Official

Name: GARY G BUCHER
Title or Position: PRESIDENT
Credential: MD
Phone: 312-623-2625