MEDICARE: ROBERT W. BUCHANAN, M.D. S.C.

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	2084P0800X	Psychiatry Physician		IL

General Provider Information

NPI Number	:	1487640355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT W. BUCHANAN, M.D. S.C.

Provider Business Mailing Address
First Line	:	180 N MICHIGAN AVE
Second Line	:	SUITE 1010
City	:	CHICAGO
State	:	IL
Zip	:	60601-7401
Country	:	US
Telephone Number	:	312-726-7729
Fax Number	:	312-726-7765

Provider Business Practice Location Address
First Line	:	180 N MICHIGAN AVE
Second Line	:	SUITE 1010
City	:	CHICAGO
State	:	IL
Zip	:	60601-7401
Country	:	US
Telephone Number	:	312-726-7729
Fax Number	:	312-726-7765

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT W. BUCHANAN
Credential	:	M.D.
Telephone Number	:	312-726-7729

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	08/22/2020

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