Organization
JENNIFER M. BLAIR, M.D., L.L.C.
Active
Organization
JENNIFER M. BLAIR, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER M BLAIR M.D. (REGISTERED AGENT)
(312) 282-5616
Entity
Organization
Contact information
Practice address
2000 OGDEN AVE, AURORA, IL 60504-7222
(847) 697-8868
Mailing address
192 MANSFIELD ST, NEW HAVEN, CT 06511-3539
(312) 282-5616
(312) 282-5616
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036117811
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117811
—
IL
Enumeration date
09/10/2007
Last updated
11/12/2008
Update your record
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