Healthcare Provider Details

I. General information

NPI: 1881548584
Provider Name (Legal Business Name): ADVANCED PRACTICE PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12634 S TALBOT CIR
PLAINFIELD IL
60585-9619
US

IV. Provider business mailing address

12634 S TALBOT CIR
PLAINFIELD IL
60585-9619
US

V. Phone/Fax

Practice location:
  • Phone: 815-272-3149
  • Fax:
Mailing address:
  • Phone: 815-272-3149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. TEKEKEE BUCKNER
Title or Position: NURSE PRACTITIONER, DNP
Credential: APRN-FPA, FNP-BC
Phone: 815-272-3149