JULIANNA BLAJ


Address: 21248 S 79th Ave, Frankfort, IL 60423-9150
Phone: 7732559202

JULIANNA BLAJ (NPI# 1275186009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275186009
Entity Type Individual
Full Name JULIANNA BLAJ
Credential NP
Practice Address 21248 S 79th Ave
Frankfort
IL 60423-9150
Practice Telephone 7732559202
Mailing Telephone 7732559202
Enumeration Date 2019-07-21
Last Update Date 2019-07-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209.019605 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 21248 S 79TH AVE
City FRANKFORT
State IL
Zip Code 60423-9150

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City FRANKFORT
Zip Code 60423

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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