Individual
DR. EDWARD LEE BUTLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
110 E 79TH ST, CHICAGO, IL 60619-2302
(773) 412-8912
Mailing address
8111 S RHODES AVE, CHICAGO, IL 60619-5023
(773) 412-8912
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008366
IL
Other
Enumeration date
02/03/2013
Last updated
02/03/2013
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