Organization
CORE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON BLOUIN (EXECUTIVE DIRECTOR)
(708) 389-6578
Entity
Organization
Contact information
Practice address
2155 BROADWAY ST, BLUE ISLAND, IL 60406-3050
(708) 389-6578
(708) 389-5086
Mailing address
2155 BROADWAY ST, BLUE ISLAND, IL 60406-3050
(708) 389-6578
(708) 389-5086
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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