Individual
NICHOLAS BLICKENSTAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
6454 W EMERALD ST, BOISE, ID 83704-8734
(208) 377-0820
(208) 375-8046
Mailing address
7123 W ARCHER AVE, CHICAGO, IL 60638-2203
(708) 634-4602
(630) 495-1770
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036.150002
IL
207N00000X
Dermatology Physician
Primary
M15699
ID
Other
Enumeration date
04/04/2015
Last updated
04/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us