Individual
MICHAEL P BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2454 E DEMPSTER ST, SUITE 400, DES PLAINES, IL 60016-5315
(847) 299-0700
(847) 299-0700
Mailing address
2454 E DEMPSTER ST, SUITE 400, DES PLAINES, IL 60016-5315
(847) 299-0700
(847) 299-0700
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036110558
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
036110558
IL
Other
Enumeration date
08/11/2006
Last updated
04/06/2017
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