Healthcare Provider Details

I. General information

NPI: 1700876307
Provider Name (Legal Business Name): BARBARA M. BUTTIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 10/13/2021
Certification Date: 10/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CANCER TREATMENT CENTERS OF AMERICA 2520 ELISHA AVENUE
ZION IL
60099
US

IV. Provider business mailing address

CANCER TREATMENT CENTERS OF AMERICA 2361 PAYSPHERE CIRCLE
CHICAGO IL
60674
US

V. Phone/Fax

Practice location:
  • Phone: 800-322-9183
  • Fax: 630-933-4959
Mailing address:
  • Phone: 800-322-9183
  • Fax: 630-933-4959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number036114077
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: