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Matthew Blazo, PA-C
NPI 1134825854 · on the registry since 2023 · sole proprietor
Practice
- Address
- 259 E Erie St Ste 1900
Chicago, IL 60611 - Phone
- (312) 695-7950
- Fax
- (312) 695-5747
- Organisation at this address
- Walgreen Co
Perry L. Kamel, M.D., S.C.
David J. Palmer, M.D., S.C.
Northwestern Medical Faculty Foundation
Northwestern Medical Faculty FoundationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 475
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois