Individual
CHRISTINA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
100 E 14TH ST APT 2009, CHICAGO, IL 60605-3677
(917) 439-0965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.019790
IL
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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