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Contact Information

WAYNE J BLASZAK, MD
1220 HOBSON RD STE 116
NAPERVILLE, IL60540-8137
 Phone: 630-355-6660
 Fax: 630-527-2856
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for WAYNE J BLASZAK · (Male)

NPI # 1245294008
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2006
Last updated 07/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-078093
  • IL Medicaid 036078093
  • IL Other 2201677 BCBS
  • IL Other 070010583 MEDICARE R.R.
  • IL Other 0300111 UHC
Hospital affiliation(s)
  • EDWARD HOSPITAL - (Acute Care)
    801 SOUTH WASHINGTON
    NAPERVILLE, IL 60540
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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