Individual
DR. STEPHEN ANDREW BLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 N SHORE DR, #140, LAKE BLUFF, IL 60044-2243
(312) 504-3433
Mailing address
900 N SHORE DR, #140, LAKE BLUFF, IL 60044-2243
(312) 504-3433
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036126664
IL
Other
Enumeration date
07/11/2008
Last updated
02/05/2014
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