Individual
MS. ANDREA LYNN BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 850, CHICAGO, IL 60611-2927
(312) 695-4034
Mailing address
676 N SAINT CLAIR ST, SUITE 850, CHICAGO, IL 60611-2927
(312) 695-4034
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209011083
IL
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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