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Individual
DR. CHARLES R. BUCHANAN
Active
Individual
DR. CHARLES R. BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-107702
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107702 1
—
IL
01
—
080191099
RAILROAD MEDICARE
IL
01
—
279500
MEDICARE GROUP
IL
Enumeration date
08/01/2006
Last updated
07/29/2014
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