Blaszak, Wayne Joseph

Blaszak, Wayne Joseph is an individual health care provider with primary practice located at 1220 Hobson Rd Ste 116 , Naperville IL 60540-8137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Blaszak, Wayne Joseph can be contacted via phone (630) 355-6660.

Contact Information

Primary practice address
1220 Hobson Rd Ste 116 Naperville IL 60540-8137
Phone: (630) 355-6660
Fax: (630) 527-2856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036-078093 Illinois

Profile Details

NPI number 1245294008
LBN Legal business name Blaszak, Wayne Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 15th, 2022 - about 2 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 1245294008 NPPES
Illinois Other 0300111 UHC
Illinois MEDICAID 036078093 UHC
Illinois Other 070010583 UHC
Illinois Other 2201677 UHC

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