Active NPI
Cynthia Ann Buono, D.O.
- Surgery Physician
- Chicago, IL
National Provider Identifier
1013217249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036133475
- Practice address
- 3660 N Lake Shore Dr Ste 210
Chicago, IL 60613 - Phone
- (312) 772-1133
- NPI assigned
- Oct 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 11014608A | IN | |
| Surgery Physician | 208600000X | 6694321 | WI | |
| Surgery Physician | 208600000X | 34.011150 | OH | |
| Surgery Physician | 208600000X | 036133475 | IL | Primary |
Addresses
Primary practice location
3660 N Lake Shore Dr Ste 210
Chicago, IL 60613
Mailing address
3660 N Lake Shore Dr Ste 210
Chicago, IL 60613-5302
Phone (312) 772-1133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036133475 | IL | MD | Surgery Physician |
| 11014608A | IN | MD | Surgery Physician |
| 34.011150 | OH | MD | Surgery Physician |
| 6694321 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Art & Science of Cosmetic Surgery | Surgery | Current | Accepting new patients |
Locations
3660 N Lake Shore Dr
Ste 210
Chicago, IL 60613
Phone (312) 340-4523
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Chicago, IL
- NPI 1548783137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1013217249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 N LAKE SHORE DR STE 210",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606135302",
"telephone_number": "312-772-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 N LAKE SHORE DR STE 210",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60613",
"telephone_number": "312-772-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUONO",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-21",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "11014608A",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "6694321",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "34.011150",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036133475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.