Patrick Buoniconti, MD
Ophthalmology in Maywood, IL. Individual provider (NPI-1).
NPI number1841940715
StatusActive
Last updated in NPPESApr 11, 2024
Details
- NPI
- 1841940715
- Entity type
- Individual (NPI-1)
- Name
- Patrick Buoniconti
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2022
- Certification date
- Apr 11, 2024
- Last updated
- Apr 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 125.081420 | IL | Yes |
| 207R00000X | Internal Medicine | 125.081420 | IL |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 888-584-7888
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
Phone 888-584-7888
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