Individual
DR. ALEXANDER JABLONOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4309 W MEDICAL CENTER DR STE B300, MCHENRY, IL 60050
(815) 759-4224
(815) 363-0136
Mailing address
4309 W MEDICAL CENTER DR STE B300, MCHENRY, IL 60050-8440
(815) 759-4224
(815) 363-0136
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
336-014672
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036048911
STATE LICENSE
IL
Enumeration date
01/17/2007
Last updated
11/02/2018
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