Individual
MICHAEL DAVID BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 GREEN BAY RD, WINNETKA, IL 60093-1938
(847) 501-3434
(847) 501-3432
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-1644
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036061189
IL
Other
Enumeration date
09/26/2006
Last updated
10/06/2020
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