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General NPI Number Information
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NPI Number | 1245595263
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Entity Type | Individual
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Provider Name | ZEESHAN BUTT PHD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 2835 N SHEFFIELD AVE STE 200
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City | CHICAGO
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State | IL
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Zip | 60657-5083
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Country | US
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Telephone | 312-834-3575
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Fax |
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Provider Business Mailing Address
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Address Line | 805 CLINTON AVE
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City | OAK PARK
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State | IL
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Zip | 60304-1116
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Country | US
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Telephone | 773-209-8183
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.007837
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License Number State | IL
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