Provider Demographics
NPI:1336345479
Name:BLENDOWSKI, CAROL LYNN (RN, NP-C)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:LYNN
Last Name:BLENDOWSKI
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Gender:F
Credentials:RN, NP-C
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Mailing Address - Street 1:1444 N ORLEANS ST
Mailing Address - Street 2:5 F
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-6537
Mailing Address - Country:US
Mailing Address - Phone:312-816-6910
Mailing Address - Fax:
Practice Address - Street 1:833 W CHICAGO AVE
Practice Address - Street 2:3RD FL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-5449
Practice Address - Country:US
Practice Address - Phone:312-633-9490
Practice Address - Fax:312-733-8952
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health