Butler, Reni S.

Butler, Reni S. is an individual health care provider with primary practice located at 1800 Hollister Dr Suite G-18, Libertyville IL 60048-5264. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Butler, Reni S. can be contacted via phone (847) 918-1462.

Contact Information

Primary practice address
1800 Hollister Dr Suite G-18 Libertyville IL 60048-5264
Fax: (847) 968-4311
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036096102 Illinois

Profile Details

NPI number 1609876770
LBN Legal business name Butler, Reni S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Sep 2nd, 2009 - about 15 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 1609876770 NPPES
Illinois Other 212545 GROUP PTAN
Illinois Other 036-096102 GROUP PTAN
Illinois Other 202926 GROUP PTAN

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