Individual
CONNIE BLATNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N OAK ST, HINSDALE, IL 60521-3829
(630) 856-9000
Mailing address
212 ANDREW CT, NORTH AURORA, IL 60542-9077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209175642
IL
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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