Individual
BLAKE ALBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE # MC6040, CHICAGO, IL 60637-1447
(773) 753-1880
(773) 702-2140
Mailing address
5841 S MARYLAND AVE # MC6040, CHICAGO, IL 60637-1447
(773) 753-1880
(773) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125-064560
IL
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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