Individual
CARRISSA A BUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
10370 HALIGUS RD STE 200, HUNTLEY, IL 60142-9582
(815) 759-8070
(815) 759-4931
Mailing address
10370 HALIGUS RD STE 200, HUNTLEY, IL 60142-9582
(815) 759-8070
(815) 759-4931
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015283
IL
363LG0600X
Gerontology Nurse Practitioner
209015283
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720371669
GROUP PRACTICE NPI
IL
Enumeration date
01/05/2017
Last updated
11/02/2022
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