Individual
DR. KELLIE SERELEAS BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 S MICHIGAN AVE STE 1550, CHICAGO, IL 60604-2424
(312) 263-5517
(312) 263-5565
Mailing address
200 S MICHIGAN AVE STE 1550, CHICAGO, IL 60604-2424
(312) 262-2976
(312) 986-8005
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036093363
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093363
—
IL
Enumeration date
11/30/2005
Last updated
06/11/2024
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