Individual
DR. JACK BUZEK
Active
Individual
DR. JACK BUZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01004627
RR MEDICARE
—
05
—
036072236001
—
IL
01
—
143150
IHS
—
05
—
1927541
—
IA
05
—
2927541
—
IA
01
—
91475
BCWELLMARK 7TH
—
01
—
93353
BCWELLMARK WEST
—
01
—
IL0181
JOHN DEERE
—
Enumeration date
03/27/2006
Last updated
10/19/2007
Update your record
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