Individual
MICHELE ANN BLAHNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
444 EISENHOWER LN N, LOMBARD, IL 60148-5404
(630) 382-8101
Mailing address
721 MELISSA DR, BOLINGBROOK, IL 60440-2556
(630) 803-5872
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.000714
IL
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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