Blanco, Robert R.

Blanco, Robert R. is an sole proprietor health care provider with primary practice located at 3800 W 203Rd St Ste 201 , Olympia Fields IL 60461-1185. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Blanco, Robert R. can be contacted via phone (708) 852-2673.

Contact Information

Primary practice address
3800 W 203Rd St Ste 201 Olympia Fields IL 60461-1185
Phone: (708) 852-2673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036072218 Illinois

Profile Details

NPI number 1487638805
LBN Legal business name Blanco, Robert R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Jul 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487638805 NPPES
Illinois Other 316-03486 BCBS
Illinois Other 01621679 BCBS
Illinois MEDICAID 036072218 BCBS
Illinois MEDICAID 036072218 / 02 BCBS

Popular Providers