James, Mary Shiellah Blancaflor

James, Mary Shiellah Blancaflor is an individual health care provider with primary practice located at 6700 167Th St Ste 4 , Tinley Park IL 60477-2078. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. James, Mary Shiellah Blancaflor can be contacted via phone (708) 429-3700.

Contact Information

Primary practice address
6700 167Th St Ste 4 Tinley Park IL 60477-2078
Phone: (708) 429-3700
Fax: (708) 429-4460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28227760A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277.000750 Illinois

Profile Details

NPI number 1639415979
LBN Legal business name James, Mary Shiellah Blancaflor
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2012
Last updated Jun 25th, 2020 - about 4 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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