Active NPI
Frank M Bucki Jr., D.C.
- Chiropractor
- Blue Island, IL
National Provider Identifier
1831421726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.011553
- Practice address
- 2443 Grunewald
Blue Island, IL 60406 - Phone
- (708) 214-8361
- NPI assigned
- Feb 3, 2010
- Last updated
- Feb 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.011553 | IL | Primary |
Addresses
Primary practice location
2443 Grunewald
Blue Island, IL 60406
Mailing address
2443 Grunewald St
Blue Island, IL 60406-1506
Phone (708) 214-8361
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.011553 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interactive Health Associates Inc | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Kenilworth, IL
- NPI 1689869620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1831421726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2443 GRUNEWALD ST",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604061506",
"telephone_number": "708-214-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2443 GRUNEWALD",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "60406",
"telephone_number": "708-214-8361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKI",
"first_name": "FRANK",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.