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Joshua Bloodworth
NPI 1992628473 · on the registry since 2026
Practice
- Address
- 208 Wildrose Ln Apt A
Marion, IL 62959 - Phone
- (618) 964-4254
- Fax
- (618) 964-4254
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois