Provider Demographics
NPI:1598074577
Name:BLANCO-OILAR, CHRISTIANE VEGA (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIANE
Middle Name:VEGA
Last Name:BLANCO-OILAR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:30 N MICHIGAN AVE
Mailing Address - Street 2:SUITE 912
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3402
Mailing Address - Country:US
Mailing Address - Phone:312-261-0699
Mailing Address - Fax:312-567-5866
Practice Address - Street 1:30 N MICHIGAN AVE
Practice Address - Street 2:SUITE 912
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3402
Practice Address - Country:US
Practice Address - Phone:312-261-0699
Practice Address - Fax:312-567-5866
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-24
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL071.007950103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling