TERESA BLAIR APN NPI 1629051503

NPI Information

  • NPI: 1629051503
  • Provider Name: TERESA BLAIR, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 606 TISDELL AVE
    WARREN, IL
    ZIP 61087
  • Phone: (815) 745-2644

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NPI Details

Teresa Blair, APN is a family nurse practitioner in Warren, IL. Teresa Blair, APN NPI is 1629051503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

606 TISDELL AVE
WARREN, IL
ZIP 61087
Phone: (815) 745-2644
Fax: (815) 745-2546

The enumeration date for this NPI number is 11/23/2005 and was last updated on 10/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily209005291ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K23949MEDICARE PINILLINOIS
2Q54842MEDICARE UPINILLINOIS
3209005291MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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