Blain And Associates, Pc | |
135 N. Greenleaf Suite 212 Gurnee IL 60031 | |
(847) 791-5928 | |
(847) 223-0887 |
Full Name | Blain And Associates, Pc |
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Speciality | Counselor - Professional |
Location | 135 N. Greenleaf, Gurnee, Illinois |
Authorized Official Name and Position | Gerald Blain (PRESIDENT) |
Authorized Official Contact | 8477915928 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blain And Associates, Pc Po Box 855 Grayslake IL 60030-0855 Ph: (847) 791-5928 | Blain And Associates, Pc 135 N. Greenleaf Suite 212 Gurnee IL 60031 Ph: (847) 791-5928 |
NPI Number | 1518104306 |
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Provider Enumeration Date | 01/15/2009 |
Last Update Date | 01/15/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518104306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180-002267 (Illinois) | Primary |
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