Search › Illinois › 174400000X
Martin Buckner, CPO
NPI 1629308762 · on the registry since 2010 · sole proprietor
Practice
- Address
- 225 E Chicago Ave # 46
Chicago, IL 60611 - Phone
- (312) 227-6210
- Fax
- (312) 227-9429
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 174400000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois