Renata Block PA

NPI 1639129554 - Physician Assistant - 363A00000X

NPI Details
NPI 1639129554
Gender Female
Enumeration Date 05/11/2006
Last Updated 08/26/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
150 N MICHIGAN AVE
SUITE 1200
CHICAGO IL, 60601-7553, US
Phone (312) 263-4625
Fax (312) 263-5029
Business Location
150 N MICHIGAN AVE
SUITE 1200
CHICAGO IL, 60601-7553, US
Phone (312) 263-4625
Fax (312) 263-5029
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085-001907
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According to our database, Renata Block PA NPI is 1639129554, taxonomy code is 363A00000X and license number is 085-001907, license state is located at Illinois. Renata Block PA physically located at 150 N Michigan Ave, Chicago IL, 60601-7553. NPI Number Renata Block PA has the Individual type.

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1639129554 NPI number is provided on an as is basis without warranty of any kind. 1639129554 is maintained by the National Plan & Provider Enumeration System. The contents of Renata Block PA are for informational purposes only.