Individual
DR. RODNEY BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1201 EAGLE ST, JOLIET, IL 60432-2031
(815) 740-8100
Mailing address
1201 EAGLE ST, JOLIET, IL 60432-2031
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043111A
IN
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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