Healthcare Provider Details

I. General information

NPI: 1760238604
Provider Name (Legal Business Name): RASHIEK M BLAND DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1538 W JACKSON BLVD STE 200
CHICAGO IL
60607-5304
US

IV. Provider business mailing address

1538 W JACKSON BLVD STE 200
CHICAGO IL
60607-5304
US

V. Phone/Fax

Practice location:
  • Phone: 312-449-1769
  • Fax:
Mailing address:
  • Phone: 312-449-1769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209031354
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number041459453
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: