Individual
ABBY BLASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC, RN
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 947-5000
Mailing address
530 N ASHLAND AVE APT 2, CHICAGO, IL 60622-6336
(970) 371-9090
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
041444296
IL
363L00000X
Nurse Practitioner
Primary
209025428
IL
Other
Enumeration date
04/16/2022
Last updated
09/08/2022
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