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General NPI Number Information
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NPI Number | 1962784124
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Entity Type | Organization
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Legal Business Name | DAVID R. BUYER, MD, SC
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 850 S WABASH AVE STE 210
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City | CHICAGO
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State | IL
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Zip | 60605-3642
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Country | US
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Telephone | 312-598-3520
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Fax | 312-598-3525
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Provider Business Mailing Address
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Address Line | 322 GREENLEAF AVE
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City | WILMETTE
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State | IL
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Zip | 60091-1910
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Country | US
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Telephone | 312-942-5100
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Fax | 312-942-5109
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. DAVID R. BUYER
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Credential | M.D.
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Telephone | 312-598-3520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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