KIMBERLY DIANE BLANKSHAIN

WHEATON, IL
NPI1801328125
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207WX0109X Ophthalmology Neuro-ophthalmology
(Licence: IL  036155745)
Additional Taxonomies207W00000X Ophthalmology
(Licence: IL  036155745)
Enumeration Date2017-03-28
Last Update Date2024-08-21
Business Address
KIMBERLY DIANE BLANKSHAIN MD
2015 N MAIN ST
WHEATON, IL 60187-3190
Phone number: 630-668-8250
Mailing Address
KIMBERLY DIANE BLANKSHAIN MD
2015 N MAIN ST
WHEATON, IL 60187-3190
Phone number: 630-668-8250