Individual provider · Type 1 NPI

Kristie Veronica Blazys

Student in an Organized Health Care Education/Training Program · Plainfield, IL

NPI number 1003786401 Active

Practice location

13550 Lincoln Highway, Suite 100
Plainfield, IL 60544

Call (815) 436-1655 Map

Mailing address

500 Wilcox St
Joliet, IL 60435-6169

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003786401

Kristie Veronica Blazys's National Provider Identifier is 1003786401, issued on Nov 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Plainfield, IL. The record was last updated on Nov 10, 2025.