Blank, Jessica M
Blank, Jessica M is an individual health care provider with primary practice located at 800 Biesterfield Rd Ste 510 , Elk Grove Village IL 60007-3367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Blank, Jessica M can be contacted via phone (847) 981-3660.Contact Information
Primary practice address
800 Biesterfield Rd Ste 510
Elk Grove Village IL 60007-3367
Phone: (847) 981-3660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 209020126 | Illinois |
Profile Details
| NPI number | 1487328134 |
|---|---|
| LBN Legal business name | Blank, Jessica M |
| Credentials | ACNPC-AG |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2021 |
| Last updated | Jun 10th, 2024 - about 2 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.
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