Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carl A. Buccellato, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1265545446

Carl A. Buccellato, MD is an Obstetrics/Gynecology in Vernon Hills, Illinois. Graduated from University of Michigan Medical School in 1995, 31 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
31
Trained at
University of Michigan Medical School
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

225 N Milwaukee Ave
Vernon Hills, IL 60061-4304
Phone: (847) 941-7900
Fax: (847) 941-7902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 036095967 (IL)

Record details

NPI number1265545446
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021
Mailing address2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1995 (31 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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