Individual
MR. JAMES KEVIN BUSKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3545 LAKE AVE, WILMETTE, IL 60091-1058
(847) 251-2028
(847) 512-5064
Mailing address
3545 LAKE AVE, WILMETTE, IL 60091-1058
(847) 251-2028
(847) 512-5064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
070004145
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634372
BCBS GROUP NO.
IL
01
—
1618443
BCBS IL GROUP ID
ID
01
—
200573902
TRANSIT REHABILITATION CENTERS OF CHICAGO
IL
01
—
363396874
TAX ID PEAK THERAPEUTICS
IL
01
—
650007085
MEDICARE RAILROAD - PALMETTO GBA
IL
Enumeration date
06/12/2006
Last updated
03/21/2012
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