Individual
DR. ROBERT R. BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8752 KITTY LN, HICKORY HILLS, IL 60457-1794
(708) 227-0756
Mailing address
8752 KITTY LN, HICKORY HILLS, IL 60457-1794
(708) 227-0756
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
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