Individual
GARY G BUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2551 N CLARK ST, SUITE 203, CHICAGO, IL 60614-1798
(312) 623-2625
(773) 289-0685
Mailing address
3023 N CLARK ST # 200, CHICAGO, IL 60657-5200
(312) 623-2625
(773) 289-0685
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036-087460
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1622085
BLUE CROSS BLUE SHEILD
IL
Enumeration date
10/17/2006
Last updated
05/16/2025
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