BLAKE DELACROIX

CHICAGO, IL
NPI1124714639
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  125.083981)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-17
Last Update Date2024-06-26
Business Address
BLAKE DELACROIX
820 S WOOD ST STE 100
CHICAGO, IL 60612
Phone number: 312-996-2933
Mailing Address
BLAKE DELACROIX
820 S WOOD ST STE 100
CHICAGO, IL 60612-4325
Phone number: