Individual
RENI S. BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 HOLLISTER DR, SUITE G-18, LIBERTYVILLE, IL 60048-5264
(847) 918-1462
(847) 968-4311
Mailing address
1800 HOLLISTER DR, SUITE G-18, LIBERTYVILLE, IL 60048-5264
(847) 918-1462
(847) 968-4311
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036096102
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-096102
STATE LICENSE
IL
01
—
202926
GROUP PTAN
IL
01
—
212545
GROUP PTAN
IL
Enumeration date
07/29/2005
Last updated
09/02/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us