Provider Demographics
NPI:1487254603
Name:BUCIO, CYNTHIA NICOLE (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:NICOLE
Last Name:BUCIO
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:MRS
Other - First Name:CYNTHIA
Other - Middle Name:NICOLE
Other - Last Name:CAJIGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DOCTOR OF PHARMACY
Mailing Address - Street 1:3837 N RIDGEWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-4013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9400 S. WESTERN
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:N/A
Practice Address - Zip Code:60805
Practice Address - Country:US
Practice Address - Phone:708-636-4719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051298899183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist