Individual provider · NPI-1
Patrick S Blair, PT
Physical Therapist · Palos Heights, IL
NPI number1003847328
StatusActive
Last updated in NPPESNov 26, 2008
Details
- NPI
- 1003847328
- Entity type
- Individual (NPI-1)
- Name
- Patrick S Blair
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2006
- Last updated
- Nov 26, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070006441 | IL | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 096-000362 | IL | |
| 2251H1200X | Physical Therapist, Hand | 971100300 | IL |
Practice location
7225 W College DrPalos Heights, IL 60463-1101
Phone 708-361-5355 · Fax 708-361-5399
Mailing address
205 W Wacker DrSuite 1020
Chicago, IL 60606-1216
Phone 312-640-0329
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