Individual
GINA BUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-9000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
40440-20
WI
208M00000X
Hospitalist Physician
Primary
40440-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34721900
—
WI
Enumeration date
03/20/2006
Last updated
06/12/2024
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