Individual
JOSEPH BLAHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4 SOUTH 100 ROUTE 59, UNIT 6, NAPERVILLE, IL 60563-9697
(630) 416-8289
(630) 416-8306
Mailing address
4 SOUTH 100 ROUTE 59, UNIT 6, NAPERVILLE, IL 60563-9697
(630) 416-8289
(630) 416-8306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002613
IL
Other
Enumeration date
12/27/2006
Last updated
04/11/2012
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