Karen Renee Buckner, DT
Individual provider Active NPI Specialist · Park Forest, IL
NPI 1346571965 · NPPES record last updated Jul 29, 2014
Key facts
- NPI
- 1346571965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 347 Onarga St
Park Forest, IL 60466-2131 - Phone
- (708) 898-7600
- Fax
- (708) 503-9113
- NPI assigned
- Jan 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | IL | Yes |
Addresses
Primary practice location
347 Onarga St
Park Forest, IL 60466-2131
Mailing address
347 Onarga St
Park Forest, IL 60466-2131
Phone (708) 898-7600
Other providers in Park Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.