Individual
DR. MICHAEL J BLINSTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
136 W LAKE ST, STE 110, BLOOMINGDALE, IL 60108-1020
(630) 980-9095
(630) 980-9156
Mailing address
136 W LAKE ST, STE 110, BLOOMINGDALE, IL 60108-1020
(630) 980-9095
(630) 980-9156
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
03/17/2007
Last updated
02/12/2008
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