Individual
DR. THOMAS P BLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 E ERIE ST STE 1900, CHICAGO, IL 60611-3246
(312) 695-7950
(312) 695-5747
Mailing address
259 E ERIE ST STE 1900, CHICAGO, IL 60611-3246
(312) 695-7950
(312) 695-5747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036057366
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036057366
IL
2084A2900X
Neurocritical Care Physician
Primary
036057366
IL
2084N0400X
Neurology Physician
036057366
IL
2084N0600X
Clinical Neurophysiology Physician
036057366
IL
2084V0102X
Vascular Neurology Physician
036057366
IL
Other
Enumeration date
07/17/2006
Last updated
03/07/2023
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