Individual
DR. WAYNE JOSEPH BLASZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 HOBSON RD STE 116, NAPERVILLE, IL 60540-8137
(630) 355-6660
(630) 527-2856
Mailing address
1220 HOBSON RD STE 116, NAPERVILLE, IL 60540-8137
(630) 355-6660
(630) 527-2856
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-078093
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300111
UHC
IL
05
—
036078093
—
IL
01
—
070010583
MEDICARE R.R.
IL
01
—
2201677
BCBS
IL
Enumeration date
04/17/2006
Last updated
07/15/2022
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