YAIMET VIDAL BUCKNOR (NPI# 1902030836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902030836 |
| Entity Type | Individual |
| Full Name | YAIMET VIDAL BUCKNOR |
| Credential | MD |
| Practice Address |
150 W High St Morris IL 60450-1497 |
| Mailing Address |
725 School St Ste A Morris IL 60450-1207 |
| Practice Telephone | 8159422932 |
| Practice Fax Number | 8154166097 |
| Mailing Telephone | 8159419124 |
| Mailing Fax Number | 8159414363 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036123195 | IL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 036.123195 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12935 Gregory St, Blue Island, IL 604062428 | 7085972000 | |
| 150 W High St, Morris, IL 604501497 | 8159422932 | 8154166097 |
| Street Address |
150 W HIGH ST |
| City | MORRIS |
| State | IL |
| Zip Code | 60450-1497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407197 | David D Vanderkin | Radiology | 150 W High St, Morris, IL 60450-1463 | 2005-06-15 |
| 1043856867 | Taelor Anne Stuedemann | Registered Nurse | 150 W High St, Morris, IL 60450-1463 | 2019-11-27 |
| 1770011397 | Ashley Blough | Nurse Practitioner | 150 W High St, Morris, IL 60450 | 2017-05-25 |
| 1548717333 | Elizabeth Behning | Dietitian, Registered | 150 W High St, Morris, IL 60450-1463 | 2016-09-08 |
| 1265988505 | Stacy Rivara | Nurse Practitioner | 150 W High St, Morris, IL 60450-1463 | 2016-08-28 |
| 1295197481 | Kanchan Tiwari | Internal Medicine | 150 W High St, Morris, IL 60450-1497 | 2016-03-25 |
| 1982061669 | Elizabeth Ann Cacello | Nurse Practitioner | 150 W High St, Morris, IL 60450-1463 | 2016-01-26 |
| 1851761886 | Cheryl Cullison | Dietitian, Registered | 150 W High St, Morris, IL 60450-1463 | 2015-10-02 |
| 1881073708 | Anurag Satsangi | Internal Medicine | 150 W High St, Morris, IL 60450-1497 | 2015-05-26 |
| 1821493768 | Noreen B Reaney | Nurse Practitioner | 150 W High St, Morris, IL 60450-1463 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
| 1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
| 1780128249 | Lori Lynn Peterson | Nurse Practitioner | 8805 N Tabler Road, Health & Wellness Clinic, Morris, IL 60450 | 2016-12-18 |
| 1639613532 | Jodi Lynn Valencia | Licensed Practical Nurse | 114 E. Benton St., Morris, IL 60450 | 2016-12-12 |
| 1184001844 | Ashish G. Suthar | Pharmacist | 1600 West Route 6, Morris, IL 60450 | 2015-05-01 |
| 1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
| 1952682742 | Marie E Monhardt | Nurse Practitioner | 801 So Washington Str, Naperville, IL 60450 | 2011-09-07 |
| 1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
| 1063669182 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 201 East U.S. Route 6, Morris, IL 60450 | 2008-08-20 |
| Find all providers in zip 60450 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| 1780128231 | A.m. Healthcare Inc | Hospitalist | 17 E 22nd Pl, Sterling, IL 61081-1263 | 2016-12-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1164888939 | Inpatient Consultants of Illinois, P.C. | Hospitalist | 1333 Butterfield Rd Ste 130, Downers Grove, IL 60515-5641 | 2016-01-11 |
| 1437544764 | Victoria Grace Behrend | Hospitalist | 259 East Erie St, Chicago, IL 60611 | 2015-04-02 |
| 1881088995 | Raksha Nepal | Hospitalist | 4440w 95th St, Oak Lawn, IL 60453-2600 | 2015-03-26 |
| 1639562267 | Alexandra Steverson | Hospitalist | 2322 N Commonwealth Ave Apt 314, Chicago, IL 60614-3408 | 2015-03-06 |
| 1710398474 | Andrew Shabila | Hospitalist | 9977 Woods Dr Ste B70, Skokie, IL 60077-1057 | 2014-05-15 |
| 1124463401 | Forte Hospitalist Services, LLC | Hospitalist | 2250 N. Illinois Ave., Carbondale, IL 62901 | 2013-05-01 |
| 1255774527 | Ketevan Gvalia | Hospitalist | 170 W Polk St Apt 1007, Chicago, IL 60605 | 2013-04-16 |
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| 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.