Blaschak, Mary Jo

Blaschak, Mary Jo is an individual health care provider with primary practice located at 3100 Sycamore Rd , Dekalb IL 60115-9621. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Blaschak, Mary Jo can be contacted via phone (815) 752-2675.

Contact Information

Primary practice address
3100 Sycamore Rd Dekalb IL 60115-9621
Phone: (815) 752-2675
Fax: (815) 752-3299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070003165 Illinois

Profile Details

NPI number 1538300983
LBN Legal business name Blaschak, Mary Jo
Credentials PT, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2009
Last updated Mar 16th, 2009 - about 17 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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