Individual
DR. CORINNE M. BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6500 N CLARK ST, CHICAGO, IL 60626-4097
(773) 388-1600
(773) 388-8936
Mailing address
845 W WILSON AVE, CHICAGO, IL 60640-5704
(312) 744-1203
(312) 744-1308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036112086
IL
207Q00000X
Family Medicine Physician
70538
MN
207Q00000X
Family Medicine Physician
C0517
KY
207Q00000X
Family Medicine Physician
EMC0001491
MI
207Q00000X
Family Medicine Physician
MD-49275
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.112086
—
IL
Enumeration date
07/14/2006
Last updated
12/07/2021
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