Kelly Victoria Buh

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

247.000147 Issued in IL

Practice address

2160 S. First Ave.
Building 150, Room 2656
Maywood, IL 60153

Phone

(708) 216-6854

NPI assigned

Jul 8, 2020

Sex

Female

Sole proprietor

No

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1942828801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S. FIRST AVE.",
            "address_2": "BUILDING 150, ROOM 2656",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-216-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S. FIRST AVE.",
            "address_2": "BUILDING 150, ROOM 2656",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-216-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUH",
        "first_name": "KELLY",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "IL",
            "license": "247.000147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Ingrid Bucholz, MD
• Troy Alan Buck, M.D.
• Hallie Buckner
• Nancy Budorick, MD
• Susan E. Buechele, DNP, APRN, CPNP-PC
• Ton Duy Bui, MD
• Jonathan Aurel Builta, DO
• Katie Margaret Bukiri, MD
• Alexandra Bullough, MD
• Derek Sean Bumgarner, M.D.

• Genetic Counselor (M.S.) in Maywood, IL
• Providers in Maywood, IL by specialty
• Genetic Counselor (M.S.) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.