Provider Demographics
NPI:1518113786
Name:BUCH, DEEP (MD)
Entity type:Individual
Prefix:
First Name:DEEP
Middle Name:
Last Name:BUCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7480 W COLLEGE DR STE 203
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1195
Mailing Address - Country:US
Mailing Address - Phone:708-361-0540
Mailing Address - Fax:708-361-1897
Practice Address - Street 1:7480 W COLLEGE DR STE 203
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1195
Practice Address - Country:US
Practice Address - Phone:708-361-0540
Practice Address - Fax:708-361-1897
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ILAN524039461532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry