Eric Buck, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096002549 Issued in IL

Practice address

2534 E Lincoln Hwy
New Lenox, IL 60451-9712

Phone

(815) 462-9420

Fax

(815) 462-9421

NPI assigned

Oct 25, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1699028894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 EASTON LN APT 105",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604464861",
            "telephone_number": "815-388-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 E LINCOLN HWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519712",
            "telephone_number": "815-462-9420",
            "fax_number": "815-462-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "ERIC",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096002549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Bruesch, PTA
• Liza Bruni
• Pauline Pakla Bubanko, O.D.
• Steven Andrew Bubanko, O.D.
• Laura M Bucher-Bailey, PHARMD
• Alison Elaine Burchardt, APN
• Priscilla Burgmayer, CNM
• Lisa Burica, SLP
• Maeve Burke, M.S., CCC-SLP
• Gina E Burlison

• Athletic Trainer in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.