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ALEX J BUIVIDAS & THOMAS A BUIVIDAS PTR NPI 1174666192


NPI Information

NPI: 1174666192
Provider Name: ALEX J BUIVIDAS & THOMAS A BUIVIDAS PTR
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4554 S ARCHER AVE
CHICAGO, IL
ZIP 60632
Phone: (773) 847-6784
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ALEX J BUIVIDAS & THOMAS A BUIVIDAS PTR is a podiatrist in Chicago, IL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ALEX J BUIVIDAS & THOMAS A BUIVIDAS PTR NPI is 1174666192. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4554 S ARCHER AVE
CHICAGO, IL
ZIP 60632-954
Phone: (773) 847-6784
Fax: (773) 847-6883

The provider's authorized official is Thomas Anthony Buividas .
The authorized official title is Partner and has the following contact phone number (773) 847-6784.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 9/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist016002967ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T37627MEDICARE UPINILLINOIS
2016002967MEDICAIDILLINOIS
3666840MEDICARE ID-TYPE UNSPECIFIED
40393590001MEDICARE NSCILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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