MEDICARE: DR. CYNTHIA ANN BUONO D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	11014608A	IN
2	208600000X	Surgery Physician	6694321	WI
3	208600000X	Surgery Physician	34.011150	OH
4	208600000X	Surgery Physician	036133475	IL

General Provider Information

NPI Number	:	1013217249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA ANN BUONO D.O.

Provider Business Mailing Address
First Line	:	3660 N LAKE SHORE DR STE 210
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-5302
Country	:	US
Telephone Number	:	312-772-1133
Fax Number	:

Provider Business Practice Location Address
First Line	:	3660 N LAKE SHORE DR STE 210
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613
Country	:	US
Telephone Number	:	312-772-1133
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2010
Last Update Date	:	05/16/2018

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