ELIZABETH BLAIR

ROCKFORD, IL
NPI1689657660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209000273)
Enumeration Date2005-11-23
Last Update Date2007-07-09
Business Address
-- ELIZABETH BLAIR APN
1200 W STATE ST
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600
Mailing Address
-- ELIZABETH BLAIR APN
2586 S GOLF RD
STOCKTON, IL 61085-9367
Phone number: 815-947-2179
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