Individual
NATE S BLAUSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-0002
(217) 544-6464
Mailing address
75 REMIT DR, LOCKBOX 1374, CHICAGO, IL 60675-1374
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-103815
IL
207P00000X
Emergency Medicine Physician
2000150983
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103815
—
IL
Enumeration date
07/14/2006
Last updated
12/19/2021
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