JACOB BLASINGAME

MONTICELLO, IL
NPI1720619232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085007530)
Enumeration Date2020-02-03
Last Update Date2024-12-13
Business Address
JACOB BLASINGAME PA-C
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856-2116
Phone number: 217-762-6241
Mailing Address
JACOB BLASINGAME PA-C
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856-2116
Phone number: 217-762-2115
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