Individual provider · NPI-1

Jennifer Blumetti, MD

Colon & Rectal Surgery · Chicago, IL

NPI number1124222054
StatusActive
Last updated in NPPESOct 31, 2014

Details

NPI
1124222054
Entity type
Individual (NPI-1)
Name
Jennifer Blumetti
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 13, 2007
Last updated
Oct 31, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208C00000X Colon & Rectal Surgery036.117737ILYes

Practice location

1901 W Harrison St
Chicago, IL 60612-3714

Phone 312-864-5253

Mailing address

1901 W Harrison St
Chicago, IL 60612-3714

Phone 312-864-5253

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