Organization Active NPI

Bucher Medical Services SC

  • Adult Medicine Physician
  • Chicago, IL
National Provider Identifier
1073666061
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
036087460 Issued in IL
Legal business name
BUCHER MEDICAL SERVICES SC
Practice address
2551 N Clark St Ste 203
Chicago, IL 60614-7738
Phone
(312) 623-2625
Fax
(773) 289-0685
NPI assigned
Jan 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gary G Bucher, MDNPI 1770664856
Title
President
Phone
(312) 623-2625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 036087460 IL Primary

Addresses

Primary practice location

2551 N Clark St Ste 203
Chicago, IL 60614-7738

Mailing address

3023 N Clark St Ste 200
Chicago, IL 60657-5200
Phone (312) 623-2625

Other identifiers 1

IdentifierTypeStateIssuer
036087460OtherILMEDICAL LICENSE NUMBER

Other names 1

  • Anal Dysplasia Clinic MidWest Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070308000495 IL Part B Supplier - Clinic/Group Practice 7012010242 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

3023 N Clark St
Ste 200
Chicago, IL 60657

2551 N Clark St
Ste 203
Chicago, IL 60614
Phone (312) 623-2625

3023 N Clark St
Ste 525
Chicago, IL 60657

2340 Hampton Ave
Ste 3
Saint Louis, MO 63139
Phone (314) 647-2828

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1073666061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 N CLARK ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575200",
            "telephone_number": "312-623-2625",
            "fax_number": "773-289-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 N CLARK ST STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147738",
            "telephone_number": "312-623-2625",
            "fax_number": "773-289-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCHER MEDICAL SERVICES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "BUCHER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-623-2625",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "036087460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "036087460",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anal Dysplasia Clinic MidWest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.