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NPI Code Detail

MEDICARE: GINA BUONO MD

MEDICARE: GINA BUONO MD
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
1208M00000XHospitalist Physician40440-20WI
22083P0500XPreventive Medicine/Occupational Environmental Medicine Physician40440-20WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467411546
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA BUONO MD
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 800-326-2250
Fax Number :
Provider Business Practice Location Address
First Line : 5900 S LAKE DR
Second Line :
City : CUDAHY
State : WI
Zip : 53110-3171
Country : US
Telephone Number : 414-489-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 06/12/2024

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Directions to “ GINA BUONO MD” Practice Location

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