Provider Demographics
NPI:1477695484
Name:BUTTON, RHONDA J (DC)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:J
Last Name:BUTTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:CARMI
Mailing Address - State:IL
Mailing Address - Zip Code:62821-1850
Mailing Address - Country:US
Mailing Address - Phone:618-382-3337
Mailing Address - Fax:
Practice Address - Street 1:4 SMITH ST
Practice Address - Street 2:
Practice Address - City:CARMI
Practice Address - State:IL
Practice Address - Zip Code:62821-1850
Practice Address - Country:US
Practice Address - Phone:618-382-3337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL09725793OtherBLUE CROSS BLUE SHIELD
U79087Medicare UPIN
IL577280Medicare ID - Type Unspecified