Individual
JAYJAY ZABALA BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 503-8144
(310) 248-6233
Mailing address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 926-2000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
036155981
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125068471
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2016
Last updated
07/02/2021
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