Individual
JOVAN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
40 75TH ST, WILLOWBROOK, IL 60527-2325
(630) 581-5372
Mailing address
40 75TH ST, WILLOWBROOK, IL 60527-2325
(630) 581-5372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209019670
IL
Other
Enumeration date
07/29/2019
Last updated
01/31/2024
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