Individual
DR. BLANCA ALICIA SERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4323 S PULASKI RD, CHICAGO, IL 60632-4008
(312) 698-9043
(855) 618-2276
Mailing address
4323 S PULASKI RD, CHICAGO, IL 60632-4008
(312) 698-9043
(855) 618-2276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.161415
IL
207Q00000X
Family Medicine Physician
1588124531
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2019
Last updated
07/25/2022
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