Individual
JOYLYNN LEANNE BLASING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2065 HALF DAY ROAD, DEERFIELD, IL 60015-1241
(847) 945-8800
Mailing address
430 N ALMA CT, P.O. BOX 505, BRIMFIELD, IL 61517-8081
(309) 712-2529
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
B42543294741
IL
Other
Enumeration date
08/23/2016
Last updated
09/08/2016
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