Organization
DAVID N BUTLER MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID N BUTLER M.D. (OWNER)
(773) 254-5350
Entity
Organization
Contact information
Practice address
2001 S CALIFORNIA AVE, SUITE #101, CHICAGO, IL 60608-2405
(773) 254-5350
(773) 254-5353
Mailing address
PO BOX 805686, CHICAGO, IL 60680-4118
(773) 254-5350
(773) 254-5353
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036086271
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001608258
BCBS OF ILLINOIS
IL
05
—
036086271
—
IL
Enumeration date
09/05/2007
Last updated
05/03/2012
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