Organization
CMBY CLINIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLOTTE MARIE BLAIN M.D. (PRESIDENT)
(630) 832-6633
Entity
Organization
Contact information
Practice address
135 S COTTAGE HILL AVE, ELMHURST, IL 60126-3330
(630) 832-6633
(630) 832-6653
Mailing address
135 S COTTAGE HILL AVE, ELMHURST, IL 60126-3330
(630) 832-6633
(630) 832-6653
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
42003094
IL
Other
Enumeration date
10/10/2005
Last updated
08/22/2020
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