Individual
STEPHANIE T BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1101 31ST ST STE 170, DOWNERS GROVE, IL 60515-5581
(800) 991-6117
(888) 812-8191
Mailing address
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624-1893
(800) 991-6117
(888) 812-8191
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
012077
AZ
202K00000X
Phlebology Physician
036.178140
IL
202K00000X
Phlebology Physician
CDR0006203
CO
202K00000X
Phlebology Physician
W2614
TX
2086S0129X
Vascular Surgery Physician
012077
AZ
2086S0129X
Vascular Surgery Physician
Primary
036.178140
IL
2086S0129X
Vascular Surgery Physician
5101018212
MI
2086S0129X
Vascular Surgery Physician
CDR0006203
CO
2086S0129X
Vascular Surgery Physician
W2614
TX
208D00000X
General Practice Physician
5101018212
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101018212
EDUCATIONAL LIMITED LICENSE
MI
Enumeration date
08/06/2009
Last updated
12/22/2025
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