DR. JEFFREY BLANK


Address: 31 W Dundee Rd, Wheeling, IL 60090-4863
Phone: 8472151525

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IL MEDICARE B 200820 01
IL RAILROAD MEDICARE 480015544 01

Other Providers JEFFREY BLANK

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

Office Location

Street Address 31 W DUNDEE RD
City WHEELING
State IL
Zip Code 60090-4863

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City WHEELING
Zip Code 60090

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Dataset Information

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.

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