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Dr. Monica Shalise' Buckner

Family Doctor Family Doctor - Geriatric Medicine

3473 S. Martin Luther King Drive #494
Chicago , Illinois 60616-4108

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Dr. Monica Shalise' Buckner

Family Doctor Family Doctor - Geriatric Medicine

3473 S. Martin Luther King Drive #494
Chicago , Illinois 60616-4108

(615) 491-1419

Write a Review Save Call

Dr. Monica Shalise' Buckner

Family Doctor Family Doctor - Geriatric Medicine

3473 S. Martin Luther King Drive #494
Chicago , Illinois 60616-4108

(615) 491-1419 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Geriatric Medicine

Languages spoken

  • English

Location

3473 S. Martin Luther King Drive #494 Chicago , Illinois 60616-4108

First Address

  • Dr. Monica Shalise' Buckner
  • 5124 S Indiana Ave Unit 3s
  • Chicago, IL
  • Zip : 60615-3428
  • Phone : (615) 491-1419

Second Address

  • Dr. Monica Shalise' Buckner
  • 3473 S. Martin Luther King Drive #494
  • Chicago, IL
  • Zip : 60616-4108
  • Phone : (773) 358-8295

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FAQs


Where did Dr. Monica Shalise' Buckner attend graduate school?

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Where did Dr. Monica Shalise' Buckner do her residency?

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Where did Dr. Monica Shalise' Buckner do her fellowship?

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Is Dr. Monica Shalise' Buckner board certified?

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What type of doctor is Dr. Monica Shalise' Buckner

Family Doctor

In what state does Dr. Monica Shalise' Buckner practice in?

Illinois

Where is Dr. Monica Shalise' Buckner ’s practice located?

3473 S. Martin Luther King Drive #494 , Chicago, Illinois, 60616-4108

What is Dr. Monica Shalise' Buckner ’s gender?

Female

Is Dr. Monica Shalise' Buckner a sole practitioner?

No

Is Dr. Monica Shalise' Buckner accepting new patients?

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What languages does Dr. Monica Shalise' Buckner speak?

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Does Dr. Monica Shalise' Buckner accept insurance?

Yes, Dr. Monica Shalise' Buckner accepts insurance

Does Dr. Monica Shalise' Buckner offers telemedicine?

Dr. Monica Shalise' Buckner has not indicated if she offers telemedicine

What is Dr. Monica Shalise' Buckner ’s professional license number?

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What is Dr. Monica Shalise' Buckner ’s NPI number?

1093102758

Does Dr. Monica Shalise' Buckner have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207Q00000X Family Doctor 036146924 IL
N 207QG0300X Family Doctor - Geriatric Medicine 036146924 IL

National Provider Identifier

NPI 1093102758
Provider Name Dr. Monica Shalise' Buckner
First Address Chicago, IL 60615-3428
Second Address Chicago, IL 60616-4108
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 21/04/2015
Last Update Date 01/08/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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