NPI
Carl A. Buccellato
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2006-08-15
- Last updated
- 2021-02-10
Specialties
Licenses
- License IL
- 036095967
Location
- Practice location
- 225 N Milwaukee Ave
- City
- Vernon Hills IL
- Postal code
- 60061-4304
- Phone
- (847) 941-7900
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Vernon Hills, IL. 953 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.