| Bucher Medical Services Sc | |
|
2551 N Clark St Ste 203 Chicago IL 60614-7738 | |
| (312) 623-2625 | |
| (773) 289-0685 |
| Full Name | Bucher Medical Services Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 2551 N Clark St Ste 203, Chicago, Illinois |
| Authorized Official Name and Position | Gary G Bucher (PRESIDENT) |
| Authorized Official Contact | 3126232625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bucher Medical Services Sc 3023 N Clark St Ste 200 Chicago IL 60657-5200 Ph: (312) 623-2625 | Bucher Medical Services Sc 2551 N Clark St Ste 203 Chicago IL 60614-7738 Ph: (312) 623-2625 |
| NPI Number | 1073666061 |
|---|---|
| Provider Enumeration Date | 01/21/2007 |
| Last Update Date | 05/16/2025 |
| Medicare PECOS PAC ID | 7012010242 |
|---|---|
| Medicare Enrollment ID | O20070308000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073666061 | NPI | - | NPPES |
| 036087460 | Other | IL | MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 036087460 (Illinois) | Primary |
| Provider Name | Gary Gerard Bucher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770664856 PECOS PAC ID: 6608810247 Enrollment ID: I20050615000222 |
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