Individual
SARAH BETH BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1131 TECHNY RD, NORTHBROOK, IL 60062
(312) 227-7600
Mailing address
225 E CHICAGO AVE # 152, CHICAGO, IL 60611-2991
(312) 227-7413
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
273625
NY
Other
Enumeration date
04/08/2011
Last updated
09/01/2019
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