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Contact Information

SNEHA BUTALA
5841 S MARYLAND AVE # MC5067
CHICAGO, IL60637-1443
 Phone: 773-702-0549
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SNEHA BUTALA · (Female)

NPI Number 1952835464
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2017
Last updated 07/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.157397
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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