Individual
REBECCA L BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
DANVILLE POLYCLINIC, LTD., 707 N LOGAN AVE, DANVILLE, IL 61832-4360
(217) 477-4794
(217) 477-4757
Mailing address
DANVILLE POLYCLINIC, LTD., 707 N LOGAN AVE, DANVILLE, IL 61832-4360
(217) 477-4794
(217) 477-4757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041318912
IL
367500000X
Certified Registered Nurse Anesthetist
209007449
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28238046A
IN
Other
Enumeration date
08/12/2009
Last updated
04/02/2026
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