Individual
DR. JULIE RYAN BLANKEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7000 CERMAK RD, BERWYN, IL 60402-2112
(708) 484-8090
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036084845
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036384845
—
IL
Enumeration date
08/18/2010
Last updated
06/09/2025
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