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Provider Information for 1053458893


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Ms. RENE' ELIZABETH BUCHMAN M.A., L.C.P.C.


Sex: Female

NPI: 1053458893
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1053458893
Enumeration Date2007-01-31
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 8198 CHAPMAN CT
DARIEN, IL 60561-5096
United States

Phone: 630-960-1324 | Fax:630-512-0365
 
Primary Practice Address 1112 S WASHINGTON ST
SUITE 112
NAPERVILLE, IL 60540-7959
United States

Phone: 630-717-9858 | Fax:630-717-8259
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)IL0002232445Blue Cross Blue Shield
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalIL180-003135