MEDICARE: PATRICK BUXTON

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	363L00000X	Nurse Practitioner	209015264	IL

General Provider Information

NPI Number	:	1194269043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK BUXTON

Provider Business Mailing Address
First Line	:	1847 W ADDISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-3502
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 W CERMAK RD
Second Line	:	3D
City	:	CHICAGO
State	:	IL
Zip	:	60616-2268
Country	:	US
Telephone Number	:	312-427-6000
Fax Number	:

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

Provider Enumeration Date	:	12/12/2016
Last Update Date	:	11/04/2025

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Directions to “ PATRICK BUXTON ” Practice Location

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