Provider Demographics
NPI:1073666061
Name:BUCHER MEDICAL SERVICES SC
Entity Type:Organization
Organization Name:BUCHER MEDICAL SERVICES SC
Other - Org Name:RADIUS HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ARMINIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-327-1600
Mailing Address - Street 1:3023 N CLARK ST # 200
Mailing Address - Street 2:STE 525
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5200
Mailing Address - Country:US
Mailing Address - Phone:773-327-1600
Mailing Address - Fax:773-327-6622
Practice Address - Street 1:850 W IRVING PARK RD
Practice Address - Street 2:STE 525
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3077
Practice Address - Country:US
Practice Address - Phone:773-327-1600
Practice Address - Fax:773-327-6622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-21
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036087460207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036087460OtherMEDICAL LICENSE NUMBER
ILF47940Medicare UPIN