Individual
DR. RONALD B BUKOWY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. SC
Contact information
Practice address
2700 KESLINGER RD, SUITE B, GENEVA, IL 60134-4645
(630) 262-1500
(630) 262-1518
Mailing address
2700 KESLINGER RD, SUITE B, GENEVA, IL 60134-4645
(630) 262-1500
(630) 262-1518
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036052366
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004500696
BCBS
IL
01
—
036-3996904
HFN
IL
05
—
036052366
—
IL
Enumeration date
08/04/2006
Last updated
01/02/2013
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