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

Yaimet Vidal Bucknor, MD

Individual provider Internal Medicine Physician · NPI 1902030836

Yaimet Vidal Bucknor, MD is an Internal Medicine in Belleville, Illinois. Qualified in 1998, 28 years ago. Practices with Humboldt Park Health, a 105-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
28
Licensed in
IL
In the registry since
2009
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

4500 Memorial Dr
Belleville, IL 62226-5360
Phone: (618) 257-6220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 800 W Central Rd, Arlington Heights, IL 60005-2349 — (877) 635-9229
  • 12935 Gregory St, Blue Island, IL 60406-2428 — (708) 597-2000
  • 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 — (331) 221-8952

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 036123195 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036123195 (IL)

Record details

NPI number1902030836
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2009
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Humboldt Park Health — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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