Frank M Bucki Jr., D.C.
Individual provider Active NPI Chiropractor · Blue Island, IL
NPI 1831421726 · NPPES record last updated Feb 3, 2010
Key facts
- NPI
- 1831421726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038.011553 (IL)
- Practice address
- 2443 Grunewald
Blue Island, IL 60406 - Phone
- (708) 214-8361
- NPI assigned
- Feb 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.011553 | IL | Yes |
Addresses
Primary practice location
2443 Grunewald
Blue Island, IL 60406
Mailing address
2443 Grunewald St
Blue Island, IL 60406-1506
Phone (708) 214-8361
Other providers in Blue Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2010. 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.