Buckner, Monica Shalise'

Buckner, Monica Shalise' is an sole proprietor health care provider with primary practice located at 3473 S. Martin Luther King Drive #494, Chicago IL 60616-4108. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Buckner, Monica Shalise' can be contacted via phone (773) 358-8295.

Contact Information

Primary practice address
3473 S. Martin Luther King Drive #494 Chicago IL 60616-4108
Phone: (773) 358-8295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 036146924 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036146924 Illinois

Profile Details

NPI number 1093102758
LBN Legal business name Buckner, Monica Shalise'
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2015
Last updated Mar 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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