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General NPI Number Information
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NPI Number | 1770664856
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Entity Type | Individual
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Provider Name | GARY G BUCHER MD
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 2551 N CLARK ST SUITE 203
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City | CHICAGO
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State | IL
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Zip | 60614-1798
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Country | US
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Telephone | 312-623-2625
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Fax | 773-289-0685
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Provider Business Mailing Address
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Address Line | 3023 N CLARK ST # 200
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City | CHICAGO
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State | IL
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Zip | 60657-5200
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Country | US
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Telephone | 312-623-2625
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Fax | 773-289-0685
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 036-087460
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License Number State | IL
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