Dr. Trina Marie Blunt
Dental Public Health
8100 S Luella Ave
Chicago
, Illinois 60617-1152
Dr. Trina Marie Blunt
Dental Public Health
8100 S Luella Ave
Chicago
, Illinois 60617-1152
(217) 351-5104
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Trina Marie Blunt
- 8100 S Luella Ave
- Chicago, IL
- Zip : 60617-1152
- Fax : (217) 351-5104
- Phone : (217) 202-5634
Second Address
- Dr. Trina Marie Blunt
- 8100 S Luella Ave
- Chicago, IL
- Zip : 60617-1152
- Fax : (217) 351-5104
- Phone : (217) 202-5634
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | IL |
National Provider Identifier
| NPI | 1518956978 |
|---|---|
| Provider Name | Dr. Trina Marie Blunt |
| First Address | Chicago, IL 60617-1152 |
| Second Address | Chicago, IL 60617-1152 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 9177738 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.