Individual
DARCELLA BLALARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 531-8420
Mailing address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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