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NPI Code Detail

MEDICARE: VIRGINIA M BUTSIC APNP

MEDICARE: VIRGINIA M BUTSIC APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse041392940IL
2363L00000XNurse Practitioner209029778IL

General Provider Information

NPI Number : 1881420966
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA M BUTSIC APNP
Provider Business Mailing Address
First Line : 10001 W INNOVATION DR STE 200
Second Line :
City : MILWAUKEE
State : WI
Zip : 53226-4851
Country : US
Telephone Number : 888-938-3838
Fax Number : 888-919-1083
Provider Business Practice Location Address
First Line : 925 N MILWAUKEE AVE UNIT 200
Second Line :
City : VERNON HILLS
State : IL
Zip : 60061-1637
Country : US
Telephone Number : 888-938-3838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2024
Last Update Date : 12/04/2024

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Directions to “ VIRGINIA M BUTSIC APNP” Practice Location

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