Individual
DR. RYAN BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036127840
IL
208M00000X
Hospitalist Physician
Primary
036127840
IL
Other
Enumeration date
05/29/2008
Last updated
02/21/2025
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