YAIMET VIDAL BUCKNOR

BELLEVILLE, IL
NPI1902030836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036123195)
Enumeration Date2009-05-06
Last Update Date2025-06-25
Business Address
YAIMET VIDAL BUCKNOR MD
4500 MEMORIAL DR
BELLEVILLE, IL 62226-5360
Phone number: 618-257-6220
Mailing Address
YAIMET VIDAL BUCKNOR MD
2598 CHASEWOOD CT
AURORA, IL 60502-9464
Phone number: 508-930-6096
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