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Contact Information

KYLE BUTZINE
1225 W LAKE ST
MELROSE PARK, IL60160-4039
 Phone: 708-681-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2251N0400X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KYLE BUTZINE · (Male)

NPI # 1396166047
Status Active
Credentials
Entity Individual
Enumeration date 12/26/2013
Last updated 12/26/2013 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 070.020217
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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