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Individual

MS. AMY E. BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5841 S. MARYLAND AVE., CHICAGO, IL 60637
(773) 702-4072
(773) 926-0696
Mailing address
9250 S. OAKLEY AVE., CHICAGO, IL 60643
(708) 415-7500
(312) 926-6134

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003139
IL
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00680754
RR MEDICARE
Enumeration date
08/29/2007
Last updated
08/08/2025
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