Individual
PATRICK BLADEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 S. WOOD STREET, SUITE 100, MC 675, CHICAGO, IL 60612
(312) 996-2933
Mailing address
820 S. WOOD STREET, SUITE 100, MC 675, CHICAGO, IL 60612
(312) 996-2933
Taxonomy
Speciality
Code
Description
License number
State
207ZC0008X
Clinical Informatics (Pathology) Physician
Primary
125079968
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125079968
IL
Other
Enumeration date
03/26/2022
Last updated
08/26/2022
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