Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 036133475 | IL |
Y | 208600000X | Surgeon | 036133475 | IL |
N | 208200000X | Surgeon | 11014608A | IN |
N | 208600000X | Surgeon | 11014608A | IN |
N | 208200000X | Surgeon | 34.011150 | OH |
N | 208600000X | Surgeon | 34.011150 | OH |
N | 208200000X | Surgeon | 6694321 | WI |
N | 208600000X | Surgeon | 6694321 | WI |
NPI | 1013217249 |
---|---|
Provider Name | Dr. Cynthia Ann Buono |
First Address | Chicago, IL 60613-5302 |
Second Address | Chicago, IL 60613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2010 |
Last Update Date | 16/05/2018 |