Organization
RICHARD F BUTZ
Active
Other names
Professional Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD F. BUTZ O.D. (OWNER)
(630) 355-6878
Entity
Organization
Contact information
Practice address
1112 S WASHINGTON ST, SUITE 201, NAPERVILLE, IL 60540-7959
(630) 355-6878
(630) 355-0043
Mailing address
1112 S WASHINGTON ST, SUITE 201, NAPERVILLE, IL 60540-7959
(630) 355-6878
(630) 355-0043
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
46-7682
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36368668F
—
IL
Enumeration date
12/17/2007
Last updated
08/13/2008
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