Butler, Shirley
Butler, Shirley is an individual health care provider with primary practice located at 1627 W Colonial Pkwy Ste 205 , Inverness IL 60067-4732. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Butler, Shirley can be contacted via phone (847) 977-4610.Contact Information
Primary practice address
1627 W Colonial Pkwy Ste 205
Inverness IL 60067-4732
Phone: (847) 977-4610
Fax: (847) 229-1987
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071005527 | Illinois |
Profile Details
NPI number | 1669568689 |
---|---|
LBN Legal business name | Butler, Shirley |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2006 |
Last updated | Sep 5th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669568689 | NPPES |
Illinois | Other | 071005527 | PHD |
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