Organization
JEFFREY G BLANK DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BLANK DPM (PRESIDENT)
(312) 642-9311
Entity
Organization
Contact information
Practice address
55 W CHESTNUT ST, 1005, CHICAGO, IL 60610-3347
(312) 642-9311
Mailing address
55 W CHESTNUT ST, 1005, CHICAGO, IL 60610-3347
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
IL
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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