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Roberta E Blandon, MD
Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician in Park Ridge, Illinois
NPI 1669450011

Roberta E Blandon is a Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician based in Park Ridge, IL and is specialized in Female Pelvic Medicine and Reconstructive Surgery. Roberta E Blandon practices in Park Ridge, IL and has the professional credentials of MD. The NPI Number for Roberta E Blandon is 1669450011 and holds a License No. 2001015985 (Illinois).

The current practice location address for Roberta E Blandon is 1875 Dempster St Ste 665, Park Ridge, IL and can be reached out via phone at 847-825-1590 and via fax at 847-825-1604.

Location: 1875 Dempster St Ste 665, Park Ridge, IL, 60068-1168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669450011
Provider Name
Roberta E Blandon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1875 Dempster St Ste 665, Park Ridge, IL, 60068-1168
Phone Number
847-825-1590
Fax Number
847-825-1604
Provider Enumeration Date
01/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L6224 05 TX
2001015985 05 MO
036147113 05 IL
institution
Provider Business Practice Location Address Details
Address
1875 Dempster St Ste 665
City
Park Ridge
State
Illinois
Zip
60068
Phone Number
847-825-1590
Fax Number
847-825-1604
person
Provider Business Mailing Address Details
Address
1875 Dempster St Ste 665
City
Park Ridge
State
Illinois
Zip
60068
Phone Number
847-825-1590
Fax Number
847-825-1604
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
036147113 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Female Pelvic Medicine and Reconstructive Surgery
Taxonomy
207VF0040X
License No.
2001015985 (Missouri)
Definition
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
2001015985 (Missouri)
Definition
Definition to come...
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