Individual
TRACY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 748-2975
(815) 981-7375
Mailing address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 748-2975
(815) 981-7375
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014048
IL
363LF0000X
Family Nurse Practitioner
209.014048
IL
Other
Enumeration date
09/02/2016
Last updated
07/14/2026
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