Yetunde Bucknor in Decatur - Surgery

Yetunde Bucknor - NPI 1043320815

Yetunde Bucknor is a Surgery in Decatur, Illinois. Yetunde Bucknor practices all healthcare services and medical treatments related to Surgery. The NPI Number for Yetunde Bucknor is 1043320815. The last update date is 2011-11-01.

Yetunde Bucknor's current location address is 2905 N Main St, Decatur, Illinois. You can contact this provider via phone number 2178779117 and fax number 2178773077. The mailing address for Yetunde Bucknor is 2905 N Main St, Decatur, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Yetunde Bucknor
Address 2905 N Main St, Decatur, Illinois
Phone Number 2178779117
Fax Number 2178773077
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1043320815
Provider Enumeration Date 2006-08-30
Last Updated Date 2011-11-01

Provider Mailing Address Detail

Address 2905 N Main St
City Decatur
State Illinois (IL)
Post Code 62526
Phone Number 2178779117
Fax Number 2178773077

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 36096908
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Yetunde Bucknor

What is the unique 10-digit identifier code issued to Yetunde Bucknor by the Centers for Medicare & Medicaid Services?

The Yetunde Bucknor has been assigned the NPI (National Provider Identifier) 1043320815 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Yetunde Bucknor?

The Yetunde Bucknor is physically situated at 2905 N Main St, in the city of Decatur, state of IL, with the postal code 62526.

What is the area of specialization for Yetunde Bucknor, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Yetunde Bucknor is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

On what date did the Yetunde Bucknor receive its 1043320815 assignment from the Centers for Medicare & Medicaid Services?

The Yetunde Bucknor was assigned its 1043320815 by the Centers for Medicare & Medicaid Services on 2006-08-30.

When was the Yetunde Bucknor's information last updated?

The Yetunde Bucknor's information was last updated on 2011-11-01.

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