| David N Butler Md Sc | |
|
2001 S California Ave Suite #101 Chicago IL 60608-2405 | |
| (773) 254-5350 | |
| (773) 254-5353 |
| Full Name | David N Butler Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2001 S California Ave, Chicago, Illinois |
| Authorized Official Name and Position | David N Butler (OWNER) |
| Authorized Official Contact | 7732545350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David N Butler Md Sc Po Box 805686 Chicago IL 60680-4118 Ph: (773) 254-5350 | David N Butler Md Sc 2001 S California Ave Suite #101 Chicago IL 60608-2405 Ph: (773) 254-5350 |
| NPI Number | 1417141235 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 05/03/2012 |
| Medicare PECOS PAC ID | 2668444175 |
|---|---|
| Medicare Enrollment ID | O20040806000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417141235 | NPI | - | NPPES |
| 0001608258 | Other | IL | BCBS OF ILLINOIS |
| 036086271 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 036086271 (Illinois) | Primary |
| Provider Name | David N Butler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083821037 PECOS PAC ID: 8729050240 Enrollment ID: I20040809000194 |
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