ROBERTA E BLANDON

PARK RIDGE, IL
NPI1669450011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery
(Licence: IL  036147113)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: MO  2001015985)
207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery
(Licence: MO  2001015985)
207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: IL  036147113)
Enumeration Date2006-01-05
Last Update Date2018-08-09
Business Address
ROBERTA E BLANDON M.D.
1875 DEMPSTER ST STE 665
PARK RIDGE, IL 60068
Phone number: 847-825-1590
Mailing Address
ROBERTA E BLANDON M.D.
1875 DEMPSTER ST STE 665
PARK RIDGE, IL 60068-1168
Phone number: 847-825-1590