Individual
DR. JEFFREY BLANKSHAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7020 W NORTH AVE, CHICAGO, IL 60707-4306
(773) 745-5555
(778) 745-8385
Mailing address
7020 W NORTH AVE, CHICAGO, IL 60707-4306
(773) 745-5555
(778) 745-8385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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