Individual
DR. KYLE BUTZINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 681-3000
Mailing address
730 TOPEKA DR, LAKE MILLS, WI 53551-1724
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
070.020217
IL
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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