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Contact Information

JAYJAY Z BLANCO, MD
251 E HURON ST
CHICAGO, IL60611-3055
 Phone: 312-503-8144
 Fax: 310-248-6233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Molecular Genetic Pathology

207ZP0007X 22 Physician/Pathology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JAYJAY Z BLANCO · (Male)

NPI Number 1144678426
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2016
Last updated 07/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036155981
  • IL License # 125068471
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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