Blanco, Melissa A

Blanco, Melissa A is an individual health care provider with primary practice located at 929 W Higgins Rd , Schaumburg IL 60195-3203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blanco, Melissa A can be contacted via phone (847) 285-4200.

Contact Information

Primary practice address
929 W Higgins Rd Schaumburg IL 60195-3203
Fax: (847) 885-0130
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-002766 Illinois

Profile Details

NPI number 1578642518
LBN Legal business name Blanco, Melissa A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Dec 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578642518 NPPES
Illinois Other P00641695 MEDICARE RAILROAD

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