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MS. MARIE ELLEN BUCKANAVAGE
NPI 1316466360
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since September 11, 2017
1431 N CLAREMONT AVE FL 2, CHICAGO, IL 60622(312) 633-5890 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Sep 11, 2017 (2 updates tracked since 2017).

About Ms. Marie Ellen Buckanavage NPPES

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

MS. MARIE ELLEN BUCKANAVAGE (NPI 1316466360) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since September 2017. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1316466360
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. MARIE ELLEN BUCKANAVAGE
Location Address1431 N CLAREMONT AVE FL 2Chicago, IL 60622-1702
Mailing Address3919 N Ravenswood Ave Apt 2Chicago, IL 60613-2419 · (203) 640-2402
Phone(312) 633-5890
Sole ProprietorNo
Enumeration DateSeptember 11, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1316466360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1431 N CLAREMONT AVE FL 2, Chicago, IL 60622
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Secondary Practice Location 1

Location 11431 N Claremont Ave Fl 2Chicago, IL 60622-1702 · Phone (312) 633-5890

Other Providers at the Same Location NPPES 20

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

JUSTIN FINK
Counselor (Mental Health)
1431 N CLAREMONT AVE FL 2
CHICAGO, IL 60622
Cook County (312) 633-5890
SUNDEEP SINGH RANDHAWA MD
Psychiatry & Neurology (Psychiatry)
1431 N CLAREMONT AVE FL 2
CHICAGO, IL 60622
Cook County (312) 491-5237
MEGAN MCDERMOTT LCSW, LLC
Social Worker (Clinical)
1431 N CLAREMONT AVE FL 2
CHICAGO, IL 60622
Cook County (312) 493-9520
HANNAH DANIELLE GROTH
Counselor (Mental Health)
1431 N CLAREMONT AVE FL 2
CHICAGO, IL 60622
Cook County (312) 633-5890
RACHEL SALERNO
Counselor
1431 N CLAREMONT AVE FL 2
CHICAGO, IL 60622
Cook County (312) 633-5890
UNKNOWN RUQAIYAH QURESHI
Counselor (Professional)
1431 N CLAREMONT AVE FL 2
CHICAGO, IL 60622
Cook County (312) 633-5890
KATRIN BOVBJERG
Student in an Organized Health Care Education/Training Program
1431 N CLAREMONT AVE FL 2
CHICAGO, IL 60622
Cook County (312) 633-5890
MELISSA DIANE KALENSKY FNP
Nurse Practitioner (Psychiatric/Mental Health)
1431 N CLAREMONT AVE FL 2
CHICAGO, IL 60622
Cook County (312) 491-5498

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 Marie Buckanavage's NPI number?

The NPI number for Marie Buckanavage is 1316466360. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Where is Marie Buckanavage located?

Marie Buckanavage practices at 1431 N Claremont Ave Fl 2, Chicago, IL 60622. The listed phone number is (312) 633-5890.

What is Marie Buckanavage's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Marie Buckanavage was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.