MEDICARE: KILEY LANE BUCK

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	163W00000X	Registered Nurse	041 342623	IL
2	367500000X	Certified Registered Nurse Anesthetist	209008047	IL
3	163W00000X	Registered Nurse	2006003604	MO

General Provider Information

NPI Number	:	1639491756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KILEY LANE BUCK

Provider Business Mailing Address
First Line	:	4121 N MOZART ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-2708
Country	:	US
Telephone Number	:	217-741-0404
Fax Number	:

Provider Business Practice Location Address
First Line	:	4646 N MARINE DR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5759
Country	:	US
Telephone Number	:	773-564-5355
Fax Number	:

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

Provider Enumeration Date	:	02/16/2010
Last Update Date	:	06/02/2026

Similar Medicare Providers

1407850969 — DR. PETER A HANCOCK DPM
Practice Location Address:

4646 N MARINE DR , STE C-6500
CHICAGO, IL
60640-5759

Practice Phone: 773-784-8102
Practice Fax: 847-215-0240

1770568123 — VHS ACQUISITION SUBSIDIARY NUMBER 3 INC
Practice Location Address:

4646 N MARINE DR
CHICAGO, IL
60640-5759

Practice Phone: 773-878-8700
Practice Fax:

1477531143 — VHS ACQUISITION SUBSIDIARY NUMBER 3 INC
Practice Location Address:

4646 N MARINE DR
CHICAGO, IL
60640-5759

Practice Phone: 773-564-5102
Practice Fax: 773-564-5101

1871572545 — VHS ACQUISITION SUBSIDIARY NUMBER 3 INC
Practice Location Address:

4646 N MARINE DR
CHICAGO, IL
60640-5759

Practice Phone: 773-564-5102
Practice Fax: 773-564-5101

1548233117 — SHEHZAD ALI M.D.
Practice Location Address:

4646 N MARINE DR , SUITE 6200C
CHICAGO, IL
60640-5759

Practice Phone: 773-564-5313
Practice Fax: 773-564-5314

1922060938 — VHS ACQUISITION SUBSIDIARY NUMBER 3 INC
Practice Location Address:

4646 N MARINE DR
CHICAGO, IL
60640-5759

Practice Phone: 773-564-5102
Practice Fax: 773-564-5101

Directions to “ KILEY LANE BUCK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.