Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY DIANE BLANKSHAIN, MD
Active Sole ProprietorKIMBERLY DIANE BLANKSHAIN, MD is a 207WX0109X healthcare provider located in WHEATON, Illinois. NPI 1801328125 is currently active in the NPPES registry. Verify at CMS.
207WX0109X · WHEATON, IL
Registration Details
- NPI Number
- 1801328125
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2017 (9.4065271862191 yrs)
- Last Updated
- Aug 21, 2024
- Licenses
-
036155745 (IL)036155745 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2015 N MAIN STWHEATON, IL, 601873190Browse IL providers · Browse ZIP 60187
- Phone
- 6306688250
- Fax
- 6306688916
- Primary Specialty
-
207WX0109X
207WX0109X
- Additional Specialty
- 207WX0109X
Other 207WX0109X Providers in WHEATON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. EVAN B PRICE | MD | 1477780310 |
| DR. TIMOTHY J. KIETZMAN | M.D. | 1952689705 |
| ERIC L CASKEY | — | 1558892729 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.