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Contact Information

LAURA M BUTHOD, MD
650 DAKOTA ST STE A
CRYSTAL LAKE, IL60012
 Phone: 815-455-6000
 Fax: 815-356-1104
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LAURA M BUTHOD · (Female)

NPI # 1467400499
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2006
Last updated 01/31/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036086040
  • IL Other 370022768 MEDICARE RAILROAD
  • IL Other 036086040 STATE LICENSE
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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