Individual
JENNA BLASZCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-FNP
Contact information
Practice address
2614 W JEFFERSON ST, JOLIET, IL 60435-6433
(815) 725-1355
(815) 725-9861
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-027329
IL
Other
Enumeration date
04/25/2023
Last updated
06/05/2023
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