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Individual

DR. ALBERTO BUTALID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14505 STATE ROUTE 127, CARLYLE, IL 62231-6485
(618) 594-8924
(618) 594-7918
Mailing address
14505 STATE ROUTE 127, CARLYLE, IL 62231-6485
(618) 594-8924
(618) 594-7918

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036070872
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036080872
IL
01
208959
GROUP
IL
01
DD8320
RR MEDICARE GROUP
IL
Enumeration date
04/06/2006
Last updated
03/09/2012
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