Butler, Marianne K

Butler, Marianne K is an individual health care provider with primary practice located at 1431 N Western Ave Suite 406, Chicago IL 60622-1797. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Butler, Marianne K can be contacted via phone (312) 633-5841.

Contact Information

Primary practice address
1431 N Western Ave Suite 406 Chicago IL 60622-1797
Phone: (312) 633-5841
Fax: (312) 491-5020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209009171 Illinois

Profile Details

NPI number 1518228915
LBN Legal business name Butler, Marianne K
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2012
Last updated May 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518228915 NPPES
Illinois MEDICAID 209009171

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