Individual
GEORGE V BUCCIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
150 E HURON ST, SUITE 801, CHICAGO, IL 60611-2999
(312) 337-2468
(312) 337-6912
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967
(708) 532-6029
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003552
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003552
—
IL
Enumeration date
01/04/2006
Last updated
07/20/2015
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