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

Dr. Eleanor Ingrid Bucholz, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588925515

Dr. Eleanor Ingrid Bucholz, MD is a Plastic and Reconstructive Surgery in Maywood, Illinois. Qualified in 2012, 14 years ago. Practices with Loyola University Medical Center, a 946-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2012
Specialties on file
2
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

2160 S 1st Ave
Maywood, IL 60153
Phone: (708) 216-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3635 Vista Ave, Saint Louis, MO 63110-2539 — (314) 577-8317

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 036150600 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588925515
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2012
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Loyola University Medical Center — 946 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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