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NPI Code Detail

MEDICARE: TOWN SQUARE MEDICAL P.C.

MEDICARE: TOWN SQUARE MEDICAL P.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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1982542551
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOWN SQUARE MEDICAL P.C.
Provider Business Mailing Address
First Line : 222 MERCHANDISE MART PLZ STE 228
Second Line :
City : CHICAGO
State : IL
Zip : 60654-1308
Country : US
Telephone Number : 312-961-4854
Fax Number :
Provider Business Practice Location Address
First Line : 2275 S CLINTON AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-2623
Country : US
Telephone Number : 312-961-4854
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. DAVID ROBERTS BUCHANAN
Credential : MD
Telephone Number : 312-961-4854
Provider Enumeration Date : 03/24/2026
Last Update Date : 06/11/2026

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Directions to “TOWN SQUARE MEDICAL P.C. ” Practice Location

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