Individual
ELIZABETH BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6841 DEMPSTER ST, MORTON GROVE, IL 60053-2628
(847) 404-0892
Mailing address
6841 DEMPSTER ST, MORTON GROVE, IL 60053-2628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011270
IL
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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