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Organization
PATRICK BUTLER MD SC
Active
Organization
PATRICK BUTLER MD SC
Active
Other names
Ophthalmology Center of Illinois SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK BUTLER MD (MD/OWNER)
(217) 899-0618
Entity
Organization
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Mailing address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 546-9720
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036089026
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089026
—
IL
Enumeration date
11/02/2013
Last updated
08/04/2015
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