Individual
RASHETA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 PEARL ST, AURORA, IL 60505-4519
(630) 966-4292
Mailing address
112 N ROSEDALE AVE, AURORA, IL 60506-3432
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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