Provider Demographics
NPI:1851599823
Name:PIYUSH C. BUCH, M.D., P.C.
Entity Type:Organization
Organization Name:PIYUSH C. BUCH, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PIYUSH
Authorized Official - Middle Name:C
Authorized Official - Last Name:BUCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-361-0540
Mailing Address - Street 1:7480 W COLLEGE DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1165
Mailing Address - Country:US
Mailing Address - Phone:708-361-0540
Mailing Address - Fax:708-361-1897
Practice Address - Street 1:7480 W COLLEGE DR
Practice Address - Street 2:SUITE 203
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1165
Practice Address - Country:US
Practice Address - Phone:708-361-0540
Practice Address - Fax:708-361-1897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X, 1041C0700X, 1041C0700X, 1041C0700X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD14992Medicare UPIN
IL979050Medicare PIN