Individual provider · Type 1 NPI

Terra M. Blint, PA

Medical Physician Assistant · Burr Ridge, IL

NPI number 1215923776 Active

Practice location

901 Mcclintock Dr, Suite 202
Burr Ridge, IL 60527-0872

Fax (630) 654-4253

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X085-001698 (IL)
Medical Physician Assistant Primary 363AM0700X001380 (IA)

Medical Physician Assistant: Definition to come...

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About NPI 1215923776

Terra M. Blint, PA's National Provider Identifier is 1215923776, issued on Sep 21, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Burr Ridge, IL. The record was last updated on May 13, 2015.