Individual
ANNA BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
333 S ASHLAND AVE, CHICAGO, IL 60607-2703
(312) 738-6170
Mailing address
4112 COVE LN, # E, GLENVIEW, IL 60025-3576
(773) 931-3915
(847) 297-3223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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