Individual
DR. THOMAS ANTHONY BUIVIDAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4554 S ARCHER AVE, CHICAGO, IL 60632-2954
(773) 847-6784
(773) 847-6883
Mailing address
4554 S ARCHER AVE, CHICAGO, IL 60632-2954
(773) 847-6784
(773) 847-6883
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IL
Other
Enumeration date
09/08/2005
Last updated
07/08/2007
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