Individual
DR. LISA BLUMOFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2093 RAND RD, DES PLAINES, IL 60016-4727
(847) 590-1880
(708) 590-0868
Mailing address
2093 RAND RD, DES PLAINES, IL 60016-4727
(847) 590-1880
(708) 590-0868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019024866
IL
Other
Enumeration date
03/22/2007
Last updated
11/03/2019
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