Darin John Buttz, MS, ATC
Individual provider Active NPI Athletic Trainer · Dacatur, IL
NPI 1780650804 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1780650804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 102 W Kenwood Ave
Decatur Memorial Hopspital: Kenwood Medical Center
Dacatur, IL 62526-1046 - Phone
- (217) 876-2690
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096-001531 | IL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | IL | Yes |
Addresses
Primary practice location
102 W Kenwood Ave
Decatur Memorial Hopspital: Kenwood Medical Center
Dacatur, IL 62526-1046
Mailing address
1155 Rosewood Dr
Mt Zion, IL 62549-1046
Phone (217) 864-6769
Other providers in Dacatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.