SearchIllinois103K00000X

Alexander Blyth

NPI 1700414505 · on the registry since 2020 · sole proprietor

Practice

Address
1104 Isabel Dr
Algonquin, IL 60102
Phone
(815) 355-6026

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-26

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