Ann Alicya Blymire
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Northfield, IL
NPI 1124663398 · NPPES record last updated Nov 12, 2019
Key facts
- NPI
- 1124663398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 041.405632 (IL)
- Practice address
- 405 Central Ave
Northfield, IL 60093-3006 - Phone
- (847) 441-6500
- NPI assigned
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.405632 | IL | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 041.405632 | IL | Yes |
Addresses
Primary practice location
405 Central Ave
Northfield, IL 60093-3006
Mailing address
4003 Chester Dr
Glenview, IL 60026-1048
Phone (610) 864-1222
Other providers in Northfield, IL
- Alena Binder
- Ilana Birg
- Erin Whalen Blanchette
- Blumer Psychological Services
- Ella Blumer
- Steven Russell Boas
- Judith H. Bobbe
- Jacob Bernard Bobrow
- Angelika Bochnak
- Megan Bolyard
All providers in Northfield, IL · Psychiatric/Mental Health Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.