Individual
DAVID EBNER BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1600
(773) 388-8936
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1600
(773) 388-8936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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