Yetunde Bucknor MD

NPI 1043320815 - Surgery - 208600000X

NPI Details
NPI 1043320815
Gender Female
Enumeration Date 08/30/2006
Last Updated 11/01/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2905 N MAIN ST
COMMUNITY HEALTH IMPROVEMENT CENTER
DECATUR IL, 62526, US
Phone (217) 877-9117
Fax (217) 877-3082
Business Location
2905 N MAIN ST
COMMUNITY HEALTH IMPROVEMENT CENTER
DECATUR IL, 62526, US
Phone (217) 877-9117
Fax (217) 877-3077
Toxanomy
Taxonomy Code 208600000X
License State Illinois
License Number 036096908
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According to our database, Yetunde Bucknor MD NPI is 1043320815, taxonomy code is 208600000X and license number is 036096908, license state is located at Illinois. Yetunde Bucknor MD physically located at 2905 N Main St, Decatur IL, 62526. NPI Number Yetunde Bucknor MD has the Individual type.

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1043320815 NPI number is provided on an as is basis without warranty of any kind. 1043320815 is maintained by the National Plan & Provider Enumeration System. The contents of Yetunde Bucknor MD are for informational purposes only.