Individual
DR. ALAN T BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 W HARRISON ST STE 300, CHICAGO, IL 60612-4861
(708) 236-2600
Mailing address
ONE WESTBROOK CORPORATE CENTER, STE 240, WESTCHESTER, IL 60154
(708) 236-2600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036143678
IL
2086X0206X
Surgical Oncology Physician
036143678
IL
Other
Enumeration date
04/20/2011
Last updated
10/09/2018
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