Individual
DR. MARK BLITSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 N WESTMORELAND RD, SUITE 102, LAKE FOREST, IL 60045-1673
(847) 295-1300
(847) 295-1574
Mailing address
800 N WESTMORELAND RD, SUITE 102, LAKE FOREST, IL 60045-1673
(847) 295-1300
(847) 295-1574
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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