DR. EDWARD LEE BUTLER JR. (NPI# 1417296005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417296005 |
| Entity Type | Individual |
| Full Name | DR. EDWARD LEE BUTLER JR. |
| Credential | PSYD |
| Practice Address |
110 E 79th St Chicago IL 60619-2302 |
| Mailing Address |
8111 S Rhodes Ave Chicago IL 60619-5023 |
| Practice Telephone | 7734128912 |
| Mailing Telephone | 7734128912 |
| Enumeration Date | 2013-02-03 |
| Last Update Date | 2013-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008366 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205916178 | Edward Grant Butler | Marriage & Family Therapist | 717 K St Ste 225, Sacramento, CA 95814-3477 | 2006-10-16 |
| 1962036392 | Edward James Butler | Chiropractor | 5310 Homestead Rd Ne Bldg 4, Albuquerque, NM 87110-1524 | 2020-02-25 |
| 1740330380 | Edward M Butler | Nurse Practitioner | 525 E 68th St, Baker 2217, New York, NY 10065-4870 | 2007-01-12 |
| 1528048139 | Edward George Butler II | Dermatology | 109 Bee St, Charleston, SC 29401-5703 | 2006-01-19 |
| 1699756916 | Edward P Butler | Internal Medicine | 170 Governors Ave, Lawrence Memorial Hospital, Medford, MA 02155-1643 | 2005-11-14 |
| 1679565972 | Edward Brian Butler | Radiology | 6565 Fannin St, Suite Ax121b, Houston, TX 77030-2703 | 2005-08-22 |
| Street Address |
110 E 79TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60619-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386636520 | Chicago Department of Public Health | Clinic/Center | 110 E 79th St, Chatham Mental Health Center, Chicago, IL 60619-2302 | 2005-08-15 |
| 1326408816 | Establishing, Manging and Generating Effective Services | Clinic/Center | 110 E 79th St, Chicago, IL 60619-2302 | 2016-02-26 |
| 1871745406 | Carol Arlene Moses-robinson | Psychologist | 110 E 79th St, Chicago, IL 60619-2302 | 2008-10-14 |
| 1821262452 | H&w Dental Associates, Ltd. | Dentist | 110 E 79th St, Chicago, IL 60619-2302 | 2008-04-15 |
| 1144354101 | Sayre Health Services, Ltd. | Chiropractor | 110 E 79th St, Suite 2, Chicago, IL 60619-2302 | 2007-03-14 |
| 1407916877 | Ben James Wallace Jr. | Dentist | 110 E 79th St, Chicago, IL 60619-2302 | 2006-12-08 |
| 1477506442 | Dh Medical Group Sc | Family Medicine | 110 E 79th St, Chicago, IL 60619-2302 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985061 | Tonia Dorsey | Durable Medical Equipment & Medical Supplies | 951 E 80th Street, Apt 1, Chicago, IL 60619 | 2020-02-24 |
| 1821635509 | Lisa Strader | Technician | 8605 S. Dorchester, Chicago, IL 60619 | 2019-12-02 |
| 1821647579 | Deborah Joves | Technician | 8258 S. Woodlawn Ave, Chicago, IL 60619 | 2019-09-05 |
| 1194372458 | Cognitive Focus Centers, Inc. | Clinic/Center | 901 E 95th St, Chicago, IL 60619 | 2019-08-21 |
| 1588136360 | Zantraquilla Z Madkins | Transportation Broker | 7829 South Wabash, Chicago, IL 60619 | 2018-12-18 |
| 1619447497 | Bria Stanciel | Case Manager/Care Coordinator | 8419 S Cottage Grove, Chicago, IL 60619 | 2018-12-05 |
| 1184153520 | Jordane Kelley | Nurse's Aide | 7339 S Wabash Ave, Chicago, IL 60619 | 2017-06-08 |
| 1205362977 | Kristen Suing | Psychologist | 1111 E 87th St Ste 300, Chicago, IL 60619 | 2017-05-02 |
| 1720525280 | Senior Healthcare Services Inc | Physical Therapist | 9133 South Stoney Island, Chicago, IL 60619 | 2017-01-23 |
| 1932652567 | Md Orthotic & Prosthetic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 1514 E 87th St Lowr Level, Chicago, IL 60619 | 2016-08-01 |
| Find all providers in zip 60619 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.