Organization
PATRICK BUTLER MD SC
Active
Other names
Ophthalmology Center of Illinois SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK BUTLER MD (MD/OWNER)
(217) 899-0618
Entity
Organization
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Mailing address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 546-9720
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036089026
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089026
—
IL
Enumeration date
11/02/2013
Last updated
08/04/2015
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