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

Timothy Joseph Buckley, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770796112

Timothy Joseph Buckley, MD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Works from 2 locations. Licensed in Illinois and Kansas.

Licensed in
IL, KS
In the registry since
2007
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

1620 W Harrison St
Chicago, IL 60612-3801
Phone: (312) 563-6637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3901 Rainbow Blvd, Kansas City, KS 66160-0001 — (913) 588-6400

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036125481 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 9406637 (KS)

Record details

NPI number1770796112
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024

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