Individual
DR. IRENE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST STE 14-100, CHICAGO, IL 60611-5966
(312) 695-8628
(312) 695-0114
Mailing address
675 N SAINT CLAIR ST STE 14-100, CHICAGO, IL 60611-5966
(312) 695-8628
(312) 695-0114
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036161539
IL
207RR0500X
Rheumatology Physician
240409
NY
Other
Enumeration date
09/03/2008
Last updated
10/13/2022
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