Individual
MRS. NICOLE BLAIR BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
914 SHERMER RD, NORTHBROOK, IL 60062-3729
(773) 456-8779
(847) 715-9270
Mailing address
914 SHERMER RD, NORTHBROOK, IL 60062-3729
(773) 456-8779
(847) 715-9270
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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