Provider Demographics
NPI:1568082964
Name:BUKO, MORGAN (DNP, CRNA, RN)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:BUKO
Suffix:
Gender:F
Credentials:DNP, CRNA, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7732 SOLUTION CENTER
Mailing Address - Street 2:UIC ANESTHESIOLOGY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-7007
Mailing Address - Country:US
Mailing Address - Phone:312-996-7487
Mailing Address - Fax:
Practice Address - Street 1:1740 W TAYLOR ST STE 3200W
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-7232
Practice Address - Country:US
Practice Address - Phone:312-996-4022
Practice Address - Fax:312-996-4019
Is Sole Proprietor?:No
Enumeration Date:2020-04-26
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041428538163WC0200X
IL209021295367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine