Individual
MATHEW DOUGLAS BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
10350 HALIGUS RD STE A, HUNTLEY, IL 60142-9545
(815) 338-6600
(847) 802-7162
Mailing address
10350 HALIGUS RD STE A, HUNTLEY, IL 60142-9545
(815) 338-6600
(847) 802-7162
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026550
IL
363LF0000X
Family Nurse Practitioner
13276-33
WI
Other
Enumeration date
03/18/2022
Last updated
01/17/2024
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