Individual
BLAKE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 E HURON ST, CHICAGO, IL 60611-3197
(312) 926-2000
Mailing address
524 W 143RD ST, NEW YORK, NY 10031-6501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301119091
MI
Other
Enumeration date
04/09/2015
Last updated
07/17/2019
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