Individual
MR. ANDREW BUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1302 FRANKLIN AVE, #4500, NORMAL, IL 61761-3551
(309) 828-1166
(309) 862-0330
Mailing address
1302 FRANKLIN AVE, #4500, NORMAL, IL 61761-3551
(309) 662-9631
(309) 662-4706
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
85001595
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05732097
BC GROUP NUMBER
IL
01
—
071461
HEALTH ALLIANCE
IL
Enumeration date
06/08/2006
Last updated
07/08/2007
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