Individual
TOM BLICHARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
4701 W 102ND ST, OAK LAWN, IL 60453-4223
(708) 738-1182
Mailing address
4701 W 102ND ST, OAK LAWN, IL 60453-4223
(708) 738-1182
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209.009677
IL
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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