Individual
ASHLEY BLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 W HIGH ST, MORRIS, IL 60450
(815) 942-2932
(815) 416-6097
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015876
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209015876
IL LICENSE
IL
Enumeration date
05/25/2017
Last updated
04/28/2020
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