Individual
DR. PHYLLIS C. BLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
48 W 562 ROUTE 30, BIG ROCK, IL 60511-0188
(630) 556-3335
(630) 556-3464
Mailing address
48 W 562 ROUTE 30, BIG ROCK, IL 60511-0188
(630) 556-3335
(630) 556-3464
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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