Provider Demographics
NPI:1790788792
Name:BUCHAR, WILLIAM L III (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:L
Last Name:BUCHAR
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 E NEW YORK ST
Mailing Address - Street 2:STE A12
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-5163
Mailing Address - Country:US
Mailing Address - Phone:630-820-1330
Mailing Address - Fax:
Practice Address - Street 1:3075 BOOK RD
Practice Address - Street 2:STE 167
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-4721
Practice Address - Country:US
Practice Address - Phone:630-857-3542
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-23
Last Update Date:2019-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-010110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2232610OtherBLUE SHIELD PROVIDER #
IL210761Medicare ID - Type Unspecified
IL2232610OtherBLUE SHIELD PROVIDER #