TERESA BLAIR, APN, Family WARREN, IL

Contact Information

TERESA BLAIR, APN

606 TISDELL AVE
WARREN, IL 61087

Phone: 815-745-2644
Fax: 815-745-2546
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for TERESA BLAIR · (Female)

NPI Number	`1629051503`
Status	Active
Credentials	APN
Entity	Individual
Enumeration date	11/23/2005
Last updated	10/18/2017 - About 9 years ago
Sole proprietor ¹	No
Identifiers	IL License # 209005291 IL Medicaid 209005291
Hospital affiliation(s)	Not Available

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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TERESA BLAIR, APN – NPI #1629051503Family

Contact Information

Specialty

Family

NPI Profile & details for TERESA BLAIR · (Female)

Reviews for TERESA BLAIR

TERESA BLAIR, APN – NPI #1629051503
Family