Individual
ERIN CATHERINE BLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 S WISCONSIN AVE, VILLA PARK, IL 60181-2836
(630) 728-7135
Mailing address
625 S WISCONSIN AVE, VILLA PARK, IL 60181-2836
(630) 728-7135
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
B45020376793
IL
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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