Individual
BARBARA M. BUTTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
036114077
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114077
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147091
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
RAILROAD MEDICARE PTAN (GROUP)
IL
01
—
P01090225
RAILROAD MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
10/25/2005
Last updated
10/13/2021
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