Provider Demographics
NPI:1962784124
Name:DAVID R. BUYER, MD, SC
Entity type:Organization
Organization Name:DAVID R. BUYER, MD, SC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:BUYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-598-3520
Mailing Address - Street 1:322 GREENLEAF AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1910
Mailing Address - Country:US
Mailing Address - Phone:312-942-5100
Mailing Address - Fax:312-942-5109
Practice Address - Street 1:850 S WABASH AVE STE 210
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-3642
Practice Address - Country:US
Practice Address - Phone:312-598-3520
Practice Address - Fax:312-598-3525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-14
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty