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Individual

DR. ROBERT R. BLANCO

Active
Find providers by NPI
Individual

DR. ROBERT R. BLANCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036072218
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01621679
BCBS
IL
05
036072218
IL
05
036072218 / 02
IL
01
316-03486
BCBS
IL
Enumeration date
11/30/2005
Last updated
07/22/2024
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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