ALEX J BUIVIDAS & THOMAS A BUIVIDAS PTR
NPI 1174666192
Podiatrist in Chicago, IL

Active since February 15, 2007
4554 S ARCHER AVE, CHICAGO, IL 60632(773) 847-6784(773) 847-6883 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alex J Buividas & Thomas A Buividas Ptr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEX J BUIVIDAS & THOMAS A BUIVIDAS PTR (NPI 1174666192) is a healthcare organization registered as a podiatrist in Chicago, Illinois and active in the NPI registry since February 2007. The organization lists Thomas Anthony Buividas, Partner, as its authorized official.

NPPES Registry Identity

NPI1174666192
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameALEX J BUIVIDAS & THOMAS A BUIVIDAS PTR
Location Address4554 S ARCHER AVEChicago, IL 60632-2954
Mailing Address4554 S Archer AveChicago, IL 60632-2954 · (773) 847-6784 · Fax (773) 847-6883
Fax(773) 847-6883
Organization SubpartNo
Authorized OfficialThomas Anthony BuividasPartner · (773) 847-6784
Enumeration DateFebruary 15, 2007
Last NPPES UpdateSeptember 11, 2008
NPI 1174666192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in IL · 016002967
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
4554 S ARCHER AVE, Chicago, IL 60632

Other Identifiers 4

Medicare UPINT37627IL
Medicaid016002967IL
Medicare ID-Type Unspecified666840
Medicare NSC0393590001IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
4554 S ARCHER AVE
CHICAGO, IL 60632
Dentist (General Practice)
4554 S ARCHER AVE
CHICAGO, IL 60632

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alex J Buividas & Thomas A Buividas Ptr's NPI number?

The NPI number for Alex J Buividas & Thomas A Buividas Ptr is 1174666192. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Alex J Buividas & Thomas A Buividas Ptr located?

Alex J Buividas & Thomas A Buividas Ptr is located at 4554 S Archer Ave, Chicago, IL 60632. The listed phone number is (773) 847-6784.

What is Alex J Buividas & Thomas A Buividas Ptr's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Alex J Buividas & Thomas A Buividas Ptr was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.