Yaimet Vidal Bucknor, MD

NPI #1902030836 in Belleville, Illinois

Provider Information

NPI Number: 1902030836
Entity Type: Individual
Name: Yaimet Vidal Bucknor, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Hospitalist
Credential: MD
Enumeration Date: May 6, 2009
Last Updated: Oct 21, 2025

Practice Location

Address: 4500 MEMORIAL DR
City: Belleville
State: Illinois
ZIP Code: 62226-5360
Phone: (618) 257-6220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Hospitalist	208M00000X	Primary

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