Individual
CATHY D BLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1006 S DIVISION ST, CARTERVILLE, IL 62918-1539
(618) 985-4841
(618) 985-8101
Mailing address
109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 985-8221
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209002890
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073080
HEALTH ALLIANCE
IL
01
—
209-002890
STATE LICENSE NUMBER
IL
05
—
370966854004
—
IL
05
—
370966854015
—
IL
01
—
CF3444
MEDICARE RR
IL
Enumeration date
08/20/2006
Last updated
09/09/2016
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