Individual
DR. BLANCA ANAIS ESTUPINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 E DEERPATH, LAKE FOREST, IL 60045-1952
(847) 234-6121
Mailing address
1607 S CRESCENT AVE, PARK RIDGE, IL 60068-5309
(863) 409-2629
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036177123
IL
207N00000X
Dermatology Physician
125073009
IL
207N00000X
Dermatology Physician
25MA1230740
NJ
Other
Enumeration date
03/28/2018
Last updated
06/15/2026
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