Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467400499 Individual Practitioner Female Practitioner

Dr. Laura M Buthod , MD

Pediatrics • Crystal Lake, IL

Professional Overview & Biography Verified Profile Summary

Dr. Laura Buthod, MD is a registered healthcare professional specializing in Pediatrics in Crystal Lake, IL. Practice services are available at 650 DAKOTA ST STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

650 Dakota St Ste A

Crystal Lake, IL 60012

Telephone 8154556000
Fax 8153561104
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Crystal Lake, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Crystal Lake, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036086040

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Railroad
370022768 (IL)
Commercial Insurance / Payer ID State License
036086040 (IL)

Secondary Practice Locations

360 Station Dr Fl 3

Crystal Lake, IL 60014

Phone: 8153386600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Jorge Roman

Social Worker - Clinical

NPI 1003343096
NPI 1134201908

Doctor of Medicine (M.D.)

Dr. Joy Valko , PsyD

Psychologist - Clinical

NPI 1174846141

Doctor of Psychology (Psy.D.)

NPI 1235390154

Doctor of Medicine (M.D.)

Laura Dagdick , CNP

Nurse Practitioner - Family

NPI 1255689543

Certified Nurse Practitioner

Kathi Bliler , PA-C

Physician Assistant

NPI 1265543557

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location January 31, 2019

Registered at 650 DAKOTA ST STE A, CRYSTAL LAKE, IL 60012 (Tel: 8154556000)

📍
Updated Business Mailing Address January 31, 2019

Registered at 650 DAKOTA ST STE A, CRYSTAL LAKE, IL 600123744 (Tel: 8154556000)

📍
Updated Practice Location May 22, 2018

Registered at 360 STATION DR FL 3, CRYSTAL LAKE, IL 60014 (Tel: 8153386600)

📍
Updated Business Mailing Address May 22, 2018

Registered at 360 STATION DR FL 3, CRYSTAL LAKE, IL 600147978 (Tel: 8153386600)

NPI Profile Active July 31, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address July 31, 2017

Registered at 360 STATION DR, CRYSTAL LAKE, IL 60014 (Tel: 8153386600)

📍
Updated Practice Location July 31, 2017

Registered at 360 STATION DRIVE, 3RD FLOOR, CRYSTAL LAKE, IL 600146260 (Tel: 8154772310)

👤
Provider Name / Credentials Updated July 31, 2017

Recorded as LAURA BUTHOD, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2017

Pediatrics (License #036086040 in IL)

NPI Profile Active April 08, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2009

Registered at 360 STATION DRIVE, 3RD FLOOR, CRYSTAL LAKE, IL 600146260 (Tel: 8154772310)

📍
Updated Business Mailing Address April 08, 2009

Registered at 13707 W JACKSON ST, WOODSTOCK, IL 600983188 (Tel: 8153371871)

👤
Provider Name / Credentials Updated April 08, 2009

Recorded as LAURA BUTHOD, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2009

Pediatrics (License #036086040 in IL)

🟢
Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467400499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2006
Last Update: January 31, 2019
Sole Proprietor: No

Mailing Address

650 Dakota St Ste A

Crystal Lake, IL 600123744

Phone: 8154556000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.