Organization
BUCHER MEDICAL SERVICES SC
Active
Other names
Anal Dysplasia Clinic MidWest
Organization subpart
No
Provider details
NPI number
Authorized official
GARY G BUCHER MD (PRESIDENT)
(312) 623-2625
Entity
Organization
Contact information
Practice address
2551 N CLARK ST STE 203, CHICAGO, IL 60614-7738
(312) 623-2625
(773) 289-0685
Mailing address
3023 N CLARK ST STE 200, CHICAGO, IL 60657-5200
(312) 623-2625
(773) 289-0685
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036087460
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036087460
MEDICAL LICENSE NUMBER
IL
Enumeration date
01/21/2007
Last updated
05/16/2025
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