Individual
BLANCA M BALDOCEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3231 EUCLID AVE FL 5, BERWYN, IL 60402-4603
(708) 783-2000
Mailing address
1535 ELLINWOOD AVE, DES PLAINES, IL 60016-4553
(773) 570-3337
(773) 453-4955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036112358
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112358
—
IL
Enumeration date
06/08/2006
Last updated
07/21/2022
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