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Individual

DR. MICHAEL ANTHONY BLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1401 US HIGHWAY 45 N, ELDORADO, IL 62930-3770
(618) 273-2951
(618) 273-2726
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2401
(618) 724-4628

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036122763
IL
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
036122763
IL

Other

Enumeration date
11/04/2007
Last updated
02/05/2026
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