Provider Demographics
NPI:1346985835
Name:BOUTIN, CATHERINE-AUDREY (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE-AUDREY
Middle Name:
Last Name:BOUTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:645 N MICHIGAN AVE.
Mailing Address - Street 2:SUITE 900
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:312-926-9877
Mailing Address - Fax:312-695-5088
Practice Address - Street 1:676 N ST. CLAIR STREET
Practice Address - Street 2:SUITE 940
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-926-8358
Practice Address - Fax:312-926-9630
Is Sole Proprietor?:No
Enumeration Date:2022-04-29
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125.078184207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease