Individual
EMILY BLOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6024 N NIAGARA AVE, CHICAGO, IL 60631-2403
(773) 710-6499
Mailing address
6024 N NIAGARA AVE, CHICAGO, IL 60631-2403
(773) 710-6499
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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