Individual
TERRENCE J BUGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4305 W MEDICAL CENTER DR, MCHENRY, IL 60050-8425
(815) 344-8000
(815) 759-4075
Mailing address
PO BOX 734138, CHICAGO, IL 60673-4138
(815) 344-8000
(815) 759-4075
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036066962
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066962-1
—
IL
Enumeration date
07/11/2006
Last updated
02/11/2019
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