Individual
PATRICK J. BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9263
Mailing address
1200 CENTRE WEST DR, SUITE 110, SPRINGFIELD, IL 62704-2173
(217) 585-7910
(217) 529-5168
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-089026
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089026
—
IL
Enumeration date
08/30/2006
Last updated
09/27/2016
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