Provider Demographics
NPI:1215197322
Name:BUTT AND BOKHARI MEDICAL ASSOCIATES,PC
Entity Type:Organization
Organization Name:BUTT AND BOKHARI MEDICAL ASSOCIATES,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIRAZ
Authorized Official - Middle Name:MAHMUD
Authorized Official - Last Name:BUTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-268-8850
Mailing Address - Street 1:207 BRIDLE PATH CIR
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2614
Mailing Address - Country:US
Mailing Address - Phone:847-768-5329
Mailing Address - Fax:630-268-1258
Practice Address - Street 1:120 E OGDEN AVE
Practice Address - Street 2:SUITE # 222
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3542
Practice Address - Country:US
Practice Address - Phone:630-268-8850
Practice Address - Fax:630-268-1258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361006682084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty