Individual
DR. JODI R BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1001 HEATHER DR, MAHOMET, IL 61853-2754
(217) 586-8473
(217) 586-8475
Mailing address
605 S JEFFERY DR, MAHOMET, IL 61853-2734
(217) 531-9416
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371119538020
—
IL
Enumeration date
04/20/2007
Last updated
07/08/2007
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