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Tracey Blanchard
Licensed Practical Nurse in Crystal Lake, Illinois
NPI 1306336144

Tracey Blanchard is a Licensed Practical Nurse based in Crystal Lake, IL. Tracey Blanchard practices in Crystal Lake, IL. The NPI Number for Tracey Blanchard is 1306336144 and holds a License No. 043118421 (Illinois).

The current practice location address for Tracey Blanchard is 5911 Northwest Hwy Ste 207, Crystal Lake, IL and can be reached out via phone at 815-526-3781. You can also correspond with Tracey Blanchard through the mailing address at 5911 NORTHWEST HWY STE 207, CRYSTAL LAKE, IL - 60014-8043 (mailing address contact number: 815-526-3781).

Location: 5911 Northwest Hwy Ste 207, Crystal Lake, IL, 60014-8043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306336144
Provider Name
Tracey Blanchard
Credential
Provider Entity Type
Individual
Gender
Female
Address
5911 Northwest Hwy Ste 207, Crystal Lake, IL, 60014-8043
Phone Number
815-526-3781
Fax Number
Provider Enumeration Date
05/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
043118421 01 IL LICENSED PRACTICAL NURSE
institution
Provider Business Practice Location Address Details
Address
5911 Northwest Hwy Ste 207
City
Crystal Lake
State
Illinois
Zip
60014-8043
Phone Number
815-526-3781
Fax Number
person
Provider Business Mailing Address Details
Address
5911 Northwest Hwy Ste 207
City
Crystal Lake
State
Illinois
Zip
60014-8043
Phone Number
815-526-3781
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043118421 (Illinois)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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