Individual
ELIZABETH A BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1725 W HARRISON ST STE 818, CHICAGO, IL 60612-3895
(312) 942-5500
Mailing address
125 S GREEN ST APT 1005A, CHICAGO, IL 60607-3717
(708) 574-1806
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209.021019
IL
Other
Enumeration date
04/07/2020
Last updated
01/02/2024
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