Individual provider Active NPI

Robert E Butt, D.C.

  • Chiropractor
  • Oak Lawn, IL
National Provider Identifier
1295881639
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007751 Issued in IL
Practice address
5116 W 95TH St
Oak Lawn, IL 60453-2458
Phone
(708) 581-7070
Fax
(708) 581-7075
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-007751 IL Primary

Addresses

Primary practice location

5116 W 95TH St
Oak Lawn, IL 60453-2458

Mailing address

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523-1234
Phone (630) 320-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040209000012 IL Practitioner - Chiropractic 7012800477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Chiro One Wellness Center of Evergreen Park LLCGroup PAC ID 7517298383, 2 clinicians

Practice addresses (Care Compare)

5114 W 95TH St
Oak Lawn, IL 60453-2458
Phone (708) 581-7070

9715 S Western Ave
Chicago, IL 60643-1723
Phone (708) 658-4987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-007751ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of Evergreen Park LLC Chiropractor CurrentSince Jul 21, 2023 Accepting new patients
Chiro One Wellness Center of Oak Lawn LLC Chiropractor CurrentSince Sep 3, 2015 Accepting new patients
Optimum Health Chiropractic Chiropractor PastSince Nov 9, 1995 Accepting new patients
Immediate Pain Care of Oak Lawn LLC Past Accepting new patients

Locations

9715 S Western Ave
Chicago, IL 60643
Phone (708) 658-4987

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

5116 W 95th St
Oak Lawn, IL 60453
Phone (708) 398-3226

5114 W 95th St
Oak Lawn, IL 60453
Phone (708) 581-7070

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1295881639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD",
            "address_2": "STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231234",
            "telephone_number": "630-320-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532458",
            "telephone_number": "708-581-7070",
            "fax_number": "708-581-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTT",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.