Provider Demographics
NPI:1316343098
Name:BLOECHL, JAMIE ELIZABETH (APRN, CNP)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:ELIZABETH
Last Name:BLOECHL
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Gender:
Credentials:APRN, CNP
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Mailing Address - Street 1:245 S GARY AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2200
Mailing Address - Country:US
Mailing Address - Phone:630-933-4550
Mailing Address - Fax:630-933-2200
Practice Address - Street 1:245 S GARY AVE STE 100
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2200
Practice Address - Country:US
Practice Address - Phone:630-933-4550
Practice Address - Fax:630-933-2200
Is Sole Proprietor?:No
Enumeration Date:2014-11-07
Last Update Date:2025-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL209.012099363LA2100X
IL209012099363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care