Individual
DR. SEAN MATTHEW BLITZSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 S DAMEN AVE, MENTAL HEALTH SERVICE LINE, CHICAGO, IL 60612-3728
(312) 569-6938
Mailing address
820 S DAMEN AVE, MENTAL HEALTH SERVICE LINE, CHICAGO, IL 60612-3728
(312) 569-6938
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-104438
IL
Other
Enumeration date
10/05/2006
Last updated
08/19/2014
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