Healthcare Provider Details

I. General information

NPI: 1588304042
Provider Name (Legal Business Name): SALONI BUCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 N HALSTED ST STE 700
CHICAGO IL
60657-5196
US

IV. Provider business mailing address

PO BOX 848478
LOS ANGELES CA
90084-8478
US

V. Phone/Fax

Practice location:
  • Phone: 847-390-7666
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number016006172
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: