Blomgren, Joshua A

Blomgren, Joshua A is an individual health care provider with primary practice located at 25 N Winfield Road , Winfield IL 60190-1295. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Blomgren, Joshua A can be contacted via phone (630) 682-5653.

Contact Information

Primary practice address
25 N Winfield Road Winfield IL 60190-1295
Phone: (630) 682-5653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036-122632 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-122632 Illinois

Profile Details

NPI number 1194981019
LBN Legal business name Blomgren, Joshua A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2008
Last updated Mar 1st, 2023 - 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 1194981019 NPPES
Illinois Other 1633878 BCBS
Illinois Other 9084591 BCBS
Illinois Other P01010062 BCBS
Illinois MEDICAID 036122632 1 BCBS

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