Provider Demographics
NPI:1851330252
Name:BUGEAG, IONUT CLAUDIU (MD)
Entity Type:Individual
Prefix:
First Name:IONUT
Middle Name:CLAUDIU
Last Name:BUGEAG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 N LASALLE ST
Mailing Address - Street 2:APT. 1203
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-8027
Mailing Address - Country:US
Mailing Address - Phone:312-751-9106
Mailing Address - Fax:
Practice Address - Street 1:1212 N LASALLE ST
Practice Address - Street 2:APT. 1203
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-8027
Practice Address - Country:US
Practice Address - Phone:312-751-9106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-104629174400000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No174400000XOther Service ProvidersSpecialist