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Individual
AWAIS BUTT
Active
Individual
AWAIS BUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-131112
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-131112
LICENSE
IL
01
—
1942560172
NPI
IL
Enumeration date
05/22/2012
Last updated
01/30/2014
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