Dr. Joshua A Blomgren
Family Doctor Family Doctor - Sports Medicine
25 N Winfield Road
Winfield
, Illinois 60190-1295
Dr. Joshua A Blomgren
Family Doctor Family Doctor - Sports Medicine
25 N Winfield Road
Winfield
, Illinois 60190-1295
(708) 492-5673
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Joshua A Blomgren
- 1 Westbrook Corporate Ctr Suite 240
- Westchester, IL
- Zip : 60154-5701
- Fax : (708) 492-5673
- Phone : (708) 236-2673
Second Address
- Dr. Joshua A Blomgren
- 25 N Winfield Road
- Winfield, IL
- Zip : 60190-1295
- Phone : (630) 682-5653
Reviews
FAQs
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Is Dr. Joshua A Blomgren a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 036-122632 | IL |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 036-122632 | IL |
National Provider Identifier
| NPI | 1194981019 |
|---|---|
| Provider Name | Dr. Joshua A Blomgren |
| First Address | Westchester, IL 60154-5701 |
| Second Address | Winfield, IL 60190-1295 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/07/2008 |
| Last Update Date | 18/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036122632 1 | (05) | IL |
| 1633878 | BCBS (01) | IL |
| 9084591 | AETNA (01) | IL |
| P01010062 | RR MEDICARE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.