TERRY CORNELIUS BLANKS

CHICAGO, IL
NPI1780063941
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  178001564)
Enumeration Date2015-05-21
Last Update Date2015-05-21
Business Address
Dr. TERRY CORNELIUS BLANKS
9548 S FOREST AVE
CHICAGO, IL 60628-1406
Phone number: 773-663-9676
Mailing Address
Dr. TERRY CORNELIUS BLANKS
9548 S FOREST AVE
CHICAGO, IL 60628-1406
Phone number: 773-663-9676
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