person
Enrique Julian Blanco Martinez, MD
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1518606227

Enrique Julian Blanco Martinez is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Enrique Julian Blanco Martinez practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Enrique Julian Blanco Martinez is 1518606227 and holds a License No. 125.080335 (Illinois).

The current practice location address for Enrique Julian Blanco Martinez is 1431 N Western Ave Ste 406, Chicago, IL and can be reached out via phone at 312-633-5841 and via fax at 312-491-5020.

Location: 1431 N Western Ave Ste 406, Chicago, IL, 60622-1774
person
Provider Profile Details
NPI Number
1518606227
Provider Name
Enrique Julian Blanco Martinez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1431 N Western Ave Ste 406, Chicago, IL, 60622-1774
Phone Number
312-633-5841
Fax Number
312-491-5020
Provider Enumeration Date
06/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1431 N Western Ave Ste 406
City
State
Zip
60622-1774
Phone Number
312-633-5841
Fax Number
312-491-5020
person
Provider Business Mailing Address Details
Address
1431 N Western Ave Ste 406
City
State
Zip
60622-1774
Phone Number
312-633-5841
Fax Number
312-491-5020
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
125.080335 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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