Provider Demographics
NPI:1386301570
Name:BLANKEMEYER, ERICA LYNN (PA-C)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:LYNN
Last Name:BLANKEMEYER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:259 E ERIE ST FL 13
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3926
Mailing Address - Country:US
Mailing Address - Phone:312-695-6800
Mailing Address - Fax:312-472-4872
Practice Address - Street 1:259 E ERIE ST FL 13
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3926
Practice Address - Country:US
Practice Address - Phone:312-695-6800
Practice Address - Fax:312-472-4872
Is Sole Proprietor?:No
Enumeration Date:2021-11-22
Last Update Date:2025-01-23
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant