Active NPI
Bucher Medical Services SC
- Adult Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 036087460
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary G Bucher, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036087460 | Other | IL | MEDICAL LICENSE NUMBER |
Other names 1
- Anal Dysplasia Clinic MidWest
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Medicine Physician
- Chicago, IL
- NPI 1770664856
-
- Nurse Practitioner
- Chicago, IL
- NPI 1629240007
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1417069659
-
- Psychiatry Physician
- Oak Brook, IL
- NPI 1093889560
-
- Physician Assistant
- Chicago, IL
- NPI 1598232910
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.