Organization
ALBERT G BLEDIG MD CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT G BLEDIG M.D. (OWNER)
(618) 273-5511
Entity
Organization
Contact information
Practice address
1405 LOCUST ST, ELDORADO, IL 62930-1629
(618) 273-5511
(618) 273-3322
Mailing address
1405 LOCUST ST, ELDORADO, IL 62930-1629
(618) 273-5511
(618) 273-3322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036036474
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036036474
—
IL
Enumeration date
07/01/2010
Last updated
08/08/2013
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