Individual
CASSANDRA DAHLIA BLANSCET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 792-7921
Mailing address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.074601
IL
207P00000X
Emergency Medicine Physician
A178484
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2019
Last updated
05/12/2022
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