Individual
MR. BRUCE C BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1150 ROUTE 54 W, CLINTON, IL 61727-2148
(217) 935-9496
(217) 935-4508
Mailing address
PO BOX 616, 1150 RT. 54 WEST, CLINTON, IL 61727-0616
(217) 935-9496
(217) 935-4508
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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