Provider Demographics
NPI:1841365939
Name:BLONIARZ, DOROTHY KATHERINE (MD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:KATHERINE
Last Name:BLONIARZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5325 W BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-4104
Mailing Address - Country:US
Mailing Address - Phone:773-283-5700
Mailing Address - Fax:773-283-6450
Practice Address - Street 1:5325 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-4104
Practice Address - Country:US
Practice Address - Phone:773-283-5700
Practice Address - Fax:773-283-6450
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036129110207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology