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
Fax: (847) 229-1987
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669568689 NPPES
Illinois Other 071005527 PHD

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