Blais, Amy L
Blais, Amy L is an individual health care provider with primary practice located at 801 S Milwaukee Ave , Libertyville IL 60048-3204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Blais, Amy L can be contacted via phone (847) 990-5450.Contact Information
Primary practice address
801 S Milwaukee Ave
Libertyville IL 60048-3204
Phone: (847) 990-5450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036107576 | Illinois |
Profile Details
| NPI number | 1275522351 |
|---|---|
| LBN Legal business name | Blais, Amy L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jun 6th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275522351 | NPPES |
| Illinois | MEDICAID | 036107576 |
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