DR. JEFFREY BLANK (NPI# 1235142605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235142605 |
Entity Type | Individual |
Full Name | DR. JEFFREY BLANK |
Credential | D.P.M. |
Practice Address |
31 W Dundee Rd Wheeling IL 60090-4863 |
Practice Telephone | 8472151525 |
Practice Fax Number | 3126429311 |
Mailing Telephone | 8472151525 |
Mailing Fax Number | 3126429311 |
Enumeration Date | 2006-08-15 |
Last Update Date | 2016-02-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO 2074 | FL | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016004427 | IL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE B | 200820 | 01 |
IL | RAILROAD MEDICARE | 480015544 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477615805 | Jeffrey Todd Blank | Dentist | 1318 Ebenezer Rd, Rock Hill, SC 29732-2337 | 2006-12-14 |
1417044710 | Jeffrey Blank | Dentist | 22 North Prince St, Pottstown, PA 19464 | 2006-10-06 |
1326571878 | Jeffrey Charles Blank | Student in an Organized Health Care Education/Training Program | 1900 23rd St, Cuyahoga Falls, OH 44223-1404 | 2017-04-11 |
1982732855 | Jeffrey Blank | Massage Therapist | 14007 Wayne Pl N, Seattle, WA 98133-7237 | 2007-03-01 |
Street Address |
31 W DUNDEE RD |
City | WHEELING |
State | IL |
Zip Code | 60090-4863 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720501257 | Podiatry Service of America Corp | Podiatrist | 31 W Dundee Rd, Wheeling, IL 60090-4863 | 2017-07-17 |
1639420565 | Paul Potach, Dpm, PC | Non-Pharmacy Dispensing Site | 31 W Dundee Rd, Wheeling, IL 60090-4863 | 2012-10-02 |
1336316942 | Paul Potach D.p.m. P.C. | Clinic/Center | 31 W Dundee Rd, Wheeling, IL 60090-4863 | 2008-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003320318 | Suhani Shail Shah | Pharmacist | Broadway Ave Pharmacy, 151 N 19th Ave, Melrose Park, IL 60090 | 2017-11-22 |
1164933479 | Vilija Ball | Psychologist | 307 S Milwaukee Ave Ste 103, Wheeling, IL 60090 | 2017-10-13 |
1184143117 | Jeremy Holtmeier | Psychologist | Wheeling School District 21, 999 West Dundee Road, Wheeling, IL 60090 | 2017-09-11 |
1326589128 | Nicole Tinetti | Student in an Organized Health Care Education/Training Program | 1410 Marcy Ln, Wheeling, IL 60090 | 2017-03-13 |
1881065365 | Melissa Theresa Ballak | Pharmacist | 1400 E Lake-cook Road, Wheeling, IL 60090 | 2015-10-09 |
1083031249 | Medtec Healthcare & Private Duty, LLC | Clinic/Center | 43 W Dundee Rd, Wheeling, IL 60090 | 2014-03-26 |
1508137464 | Kras Medical S.c. | Dentist | 1532 West Lale Cook Road, Wheeling, IL 60090 | 2012-01-24 |
1629351077 | Kedvon Pharmacy Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 56 South Milwaukee Ave., Wheeling, IL 60090 | 2011-09-22 |
1992038814 | Ida Neyman | Specialist | 45 Prairie Park Dr., Apt 503, Wheeling, IL 60090 | 2009-09-10 |
1396078275 | Funtastic Gymnastic LLC | Physical Therapist | 401 S. Milwaukee Ave, Suite 235, Wheeling, IL 60090 | 2009-09-10 |
Find all providers in zip 60090 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821270406 | Goodwin Foot & Ankle Center Pllc | Podiatrist | 3500 Jacob St, Wheeling, WV 26003-1934 | 2007-12-05 |
1740392224 | Anthony Spitz | Podiatrist | 505 N Wolf Rd, Wheeling, IL 60090-3027 | 2006-08-31 |
1720501257 | Podiatry Service of America Corp | Podiatrist | 31 W Dundee Rd, Wheeling, IL 60090-4863 | 2017-07-17 |
1619954906 | Achilles Foot & Ankle Surgery PC | Podiatrist | 2108 Lumber Ave Ste 2, Wheeling, WV 26003-5350 | 2005-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
Find all providers with the same taxonomy |
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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.