Terrold B Butler
Pediatrician
231 E 75th St
Chicago
, Illinois 60619-2267
Terrold B Butler
Pediatrician
231 E 75th St
Chicago
, Illinois 60619-2267
(773) 955-0300
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Terrold B Butler
- 231 E 75th St
- Chicago, IL
- Zip : 60619-2267
- Phone : (773) 955-0300
Second Address
- Terrold B Butler
- 231 E 75th St
- Chicago, IL
- Zip : 60619-2267
- Phone : (773) 955-0300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | IL |
National Provider Identifier
| NPI | 1003850124 |
|---|---|
| Provider Name | Terrold B Butler |
| First Address | Chicago, IL 60619-2267 |
| Second Address | Chicago, IL 60619-2267 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D13352 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.