Search › Illinois › 1835P1200X
Benjamin Blitzblau, PHARMD
NPI 1699097865 · on the registry since 2010
Practice
- Address
- 1515 E Riverside Blvd
Kmart Pharmacy
Loves Park, IL 61111 - Phone
- (815) 877-8059
- Fax
- (815) 282-4992
- Organisation at this address
- Cole Vision Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1835P1200X
1835P1200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-02-15
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