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Contact Information

BRIAN J BLONIGEN, MD
2614 W JEFFERSON ST
JOLIET, IL60435-6433
 Phone: 815-725-1355
 Fax: 815-730-3020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for BRIAN J BLONIGEN · (Male)

NPI # 1134330426
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2007
Last updated 08/26/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.129649
  • OH License # 57009754
Hospital affiliation(s)
  • COMMUNITY HOSPITAL - (Acute Care)
    901 MACARTHUR BLVD
    MUNSTER, IN 46321
  • ST CATHERINE HOSPITAL INC - (Acute Care)
    4321 FIR ST
    EAST CHICAGO, IN 46312
  • ST MARY MEDICAL CENTER INC - (Acute Care)
    1500 S LAKE PARK AVE
    HOBART, IN 46342
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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