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Individual

CAITRIONA ANN MARY BUCKLEY

Active
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Individual

CAITRIONA ANN MARY BUCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01079171A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036121892
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0057184
MD
207RP1001X
Pulmonary Disease Physician
01079171A
IN
207RP1001X
Pulmonary Disease Physician
036121892
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
034830200
DC
05
036121892
IL
01
1617373
BCBS OF IL
IL
01
19460024
CAREFIRST BCBS
DC
01
206147
MEDICARE PTAN (GROUP)
05
300005991
IN
05
415096100
MD
01
61038502
CAREFIRST BCBS
MD
01
CA4748
MEDICARE RAILROAD PTAN (GROUP)
01
P00924094
MEDICARE RAILROAD PTAN (INDIVIDUAL)
01
T01596
MEDICARE PTAN (INDIVIDUAL)
Enumeration date
05/04/2006
Last updated
03/16/2025
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