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Contact Information

PHYLLIS C BLECK, MD
48 W 562 ROUTE 30
BIG ROCK, IL60511-0188
 Phone: 630-556-3335
 Fax: 630-556-3464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PHYLLIS C BLECK · (Female)

NPI Number 1811013592
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
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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