Individual
SAAD BLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021
(815) 285-5533
(815) 285-5584
Mailing address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5533
(815) 285-5584
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036113785
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072589
—
IL
01
—
381220001
MEDICARE
IL
Enumeration date
07/04/2006
Last updated
08/23/2018
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