Organization
GEORGE V BUCCIERO DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE V BUCCIERO DPM (OWNER)
(312) 337-2468
Entity
Organization
Contact information
Practice address
150 E HURON ST, SUITE 801, CHICAGO, IL 60611-2999
(312) 337-2468
Mailing address
150 E HURON ST, SUITE 801, CHICAGO, IL 60611-2999
(312) 337-2468
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060001392
BC BS
IL
Enumeration date
05/10/2006
Last updated
09/19/2012
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