NPIRadar

Roberta E Blandon, M.D. Valid NPI

Individual provider · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Park Ridge, IL

NPI
1669450011
Type
Individual (Type 1)
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (Obstetrics & Gynecology)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207VF0040X
License number
036147113 (IL)
Sex
Female
Sole proprietor
No
Enumerated
2006-01-05
Last updated
2018-08-09
Practice location
1875 Dempster St Ste 665
Park Ridge, IL 60068
(847) 825-1590

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