Butler, Blake

Butler, Blake is an sole proprietor health care provider with primary practice located at 2650 Ridge Ave , Evanston IL 60201-1700. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Butler, Blake can be contacted via phone (847) 570-1959.

Contact Information

Primary practice address
2650 Ridge Ave Evanston IL 60201-1700
Phone: (847) 570-1959
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 041.443514 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209028636 Illinois

Profile Details

NPI number 1467153148
LBN Legal business name Butler, Blake
Credentials APN-CRNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2023
Last updated Nov 8th, 2023 - about last year

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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