Individual
KELLI LYNN BLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP APN
Contact information
Practice address
10555 EAST COUNTY ROAD 800 N, MATTOON, IL 61938-3574
(217) 235-4227
(217) 235-4274
Mailing address
509 HAMACHER ST 205, WATERLOO, IL 62298-1592
(618) 628-0715
(888) 371-4468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209005102
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00322001
RAILROAD MEDICARE
IL
Enumeration date
09/06/2006
Last updated
09/18/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us