Individual
JESSICA M BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
800 BIESTERFIELD RD STE 510, ELK GROVE VILLAGE, IL 60007-3367
(847) 981-3660
Mailing address
800 BIESTERFIELD RD STE 510, ELK GROVE VILLAGE, IL 60007-3367
(847) 981-3660
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209020126
IL
Other
Enumeration date
08/05/2021
Last updated
06/10/2024
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