Individual
MR. DONALD CHARLES BLAHUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2050 LARKIN AVE STE 102, ELGIN, IL 60123-5888
(630) 888-2526
(847) 742-0191
Mailing address
2050 LARKIN AVE STE 102, ELGIN, IL 60123-5888
(630) 888-2526
(847) 742-0191
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
532730
MEDICARE PROVIDER ID
IL
Enumeration date
12/13/2007
Last updated
12/13/2007
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