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YAIMET VIDAL BUCKNOR MD

Individual Provider (NPI-1) Active

Hospitalist

Provider Information

NPI Number
1902030836
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
4500 MEMORIAL DR, BELLEVILLE, IL, 622265360
Phone
(618) 257-6220

Specialties & Taxonomies

Internal Medicine License: IL #036123195
Hospitalist Primary License: IL #036123195

All Addresses

MAILING

2650 RIDGE AVE STE 1223

EVANSTON, IL, 602011700

(847) 570-2040

LOCATION

4500 MEMORIAL DR

BELLEVILLE, IL, 622265360

(618) 257-6220