RONALD B BUKOWY MD SC (NPI# 1134255490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134255490 |
| Entity Type | Organization |
| Organization Name | RONALD B BUKOWY MD SC |
| Practice Address |
302 Randall Rd # 104-a Geneva IL 60134-4209 |
| Practice Telephone | 6303774020 |
| Practice Fax Number | 6303774023 |
| Mailing Telephone | 6303774020 |
| Mailing Fax Number | 6303774023 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2008-10-14 |
| Authorized Official Name | DR. RONALD B BUKOWY (NEUROLOGIST) |
| Authorized Official Telephone | 6303774020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 36052366 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 04500696 | 01 |
| IL | 036052366 | 05 |
| Street Address |
302 RANDALL RD # 104-A |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780710194 | Tri City Balance Center S.c. | Specialist | 302 Randall Rd # 104-a, Geneva, IL 60134-4209 | 2007-02-27 |
| 1649306267 | Tri City Balance Center S.c. | Physical Therapist | 302 Randall Rd # 104-a, Geneva, IL 60134-4209 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558577015 | Wendy Kathleen Kloczkowski - Panetta | Specialist | 154 Nursery Ave, Geneva, NY 14456-2559 | 2007-05-14 |
| 1942338660 | Wendy A Pond | Specialist | 2971 Seeley Rd, Geneva, NY 14456-1936 | 2007-03-02 |
| 1619011202 | Kane Cardiac Diagnostics, LLC | Specialist | 351 Delnor Dr., Suite 100, Geneva, IL 60134-4205 | 2007-02-16 |
| 1194862920 | Kimberly Grimes | Specialist | 741 Anderson Blvd, Geneva, IL 60134-1246 | 2007-01-31 |
| 1811040314 | New Beginnings Pediatrics Sc | Specialist | 302 Randall Rd Ste 106, Geneva, IL 60134-4209 | 2007-01-19 |
| 1295893683 | Colette A Titus | Specialist | 538 Dempsey Pl, Geneva, IL 60134-1094 | 2006-12-05 |
| 1508940883 | Kane Cardiology S.c. | Specialist | 351 Delnor Drive, Suite 100, Geneva, IL 60134-4205 | 2006-10-24 |
| 1538175344 | Susan Marie Holstein | Specialist | 427 E State St, Geneva, IL 60134-2337 | 2006-08-01 |
| 1912906462 | Tarun Mullick | Specialist | 2631 Williamsburg Ave, Suite 301, Geneva, IL 60134-1101 | 2005-07-18 |
| 1225433238 | Jill Mundy | Specialist | 731 Pre Emption Rd, Geneva, NY 14456-1335 | 2014-11-03 |
| Find all providers in GENEVA | ||||
Please comment or provide details below to improve the information on RONALD B BUKOWY MD SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.