ELLEN R BLOOD

SPRINGFIELD, IL
NPI1891879268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085-001717)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
-- ELLEN R BLOOD P.A.
747 N RUTLEDGE ST 4TH FLOOR
SPRINGFIELD, IL 62702-6700
Phone number: 217-788-0706
Mailing Address
-- ELLEN R BLOOD P.A.
PO BOX 19420
SPRINGFIELD, IL 62794-9420
Phone number: 217-788-0706
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