Organization
JOI A BUTLER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOI A BUTLER MD (OWNER/PHYSICIAN)
(708) 423-6400
Entity
Organization
Contact information
Practice address
4700 W 95TH ST, SUITE LL2, OAK LAWN, IL 60453-2533
(708) 423-6400
Mailing address
4700 W 95TH ST, SUITE LL2, OAK LAWN, IL 60453-2533
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001633965
BC BS
IL
Enumeration date
05/23/2006
Last updated
08/22/2020
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