TINA FRUSCIONE BLACHUT (NPI# 1174785588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174785588 |
| Entity Type | Individual |
| Full Name | TINA FRUSCIONE BLACHUT |
| Other Name | TINA JOSIE FRUSCIONE |
| Credential | D.O. |
| Practice Address |
150 N River Rd Ste 310 Des Plaines IL 60016-1272 |
| Practice Telephone | 8477950900 |
| Practice Fax Number | 8477950955 |
| Mailing Telephone | 8477950900 |
| Mailing Fax Number | 8477950955 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2012-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036128628 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
150 N RIVER RD STE 310 |
| City | DES PLAINES |
| State | IL |
| Zip Code | 60016-1272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043702830 | Professional Healthcare Inc | Family Medicine | 960 Rand Rd Ste 224, Des Plaines, IL 60016 | 2018-06-06 |
| 1407367022 | Vcare Pharmacy Inc | Pharmacy | 380 E Nortwest Hwy, Suite 201, Des Plaines, IL 60016 | 2017-10-23 |
| 1649799610 | George N Hotousiotis | Pharmacist | 10 East Golf Road, Des Plaines, IL 60016 | 2017-09-11 |
| 1619494838 | Abdul M Shamsuddin | Physical Therapist | 2555 Suffield St, Des Plaines, IL 60016 | 2017-08-28 |
| 1063960482 | Rachel Kimbrough | Counselor | 100 N River Road, Des Plaines, IL 60016 | 2016-09-14 |
| 1902250178 | Perfect Storm Chiropractic, LLC | Chiropractor | 565 Concord Ln, Des Plaines, IL 60016 | 2016-04-14 |
| 1255796611 | Nektaria Goudis | Psychologist | 950 Lee Street, Des Plaines, IL 60016 | 2015-12-29 |
| 1831501352 | Gary R. Kuntz | Dentist | 1173 Algonquin Rd., Des Plaines, IL 60016 | 2014-06-02 |
| 1558773754 | Midwest Anesthesia and Pain Specialists, Sc | Pain Medicine | 9700 Golf Rd, Second Floor, Des Plaines, IL 60016 | 2014-05-22 |
| 1508282377 | Maciej Padowski | Emergency Medicine | 9500 Greenwood Dr, Des Plaines, IL 60016 | 2014-03-17 |
| Find all providers in zip 60016 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578064077 | Reliable Visiting Physicians Inc | Family Medicine | 1984 S Chestnut St, Des Plaines, IL 60018-2959 | 2018-02-21 |
| 1366845950 | Medical Health Clinic Ltd | Family Medicine | 1173 E Algonquin Rd, Des Plaines, IL 60016-6305 | 2014-09-27 |
| 1245645928 | Premier Optimal Health LLC | Family Medicine | 150 N River Rd Ste 230, Des Plaines, IL 60016-1299 | 2014-06-21 |
| 1922312198 | Nabher Healthcare, P.C. | Family Medicine | 1792 E. Oakton Street, Des Plaines, IL 60018-2110 | 2010-07-30 |
| 1982847307 | Anish Pithadia, Md, Sc | Family Medicine | 1792 E Oakton Street, Des Plaines, IL 60018-2110 | 2009-04-15 |
| 1467690040 | Lenus Damasaru | Family Medicine | 1792 E Oakton, Des Plaines, IL 60018 | 2009-02-04 |
| 1548413560 | Dan Stockhammer | Family Medicine | 770 Pearson St, 304, Des Plaines, IL 60016-9215 | 2008-11-04 |
| 1235315995 | Bino Varghese Oommen | Family Medicine | 1328 Webford Ave, Suite 305, Des Plaines, IL 60016-7110 | 2008-01-11 |
| 1669666236 | Nishath Fatima Ghani | Family Medicine | 9116 Senate Dr Apt 1g, Des Plaines, IL 60016-4930 | 2007-08-28 |
| 1982742789 | Dr Joseph B Goldstein Sc | Family Medicine | 1556 S River Road, Des Plaines, IL 60018-1743 | 2007-02-02 |
| Find all providers in DES PLAINES | ||||
| City | DES PLAINES |
| Zip Code | 60016 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.