BLAKE WILLIAMS (NPI# 1497101018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497101018 |
| Entity Type | Individual |
| Full Name | BLAKE WILLIAMS |
| Credential | M.D. |
| Practice Address |
5841 S Maryland Ave # Mc2114 Chicago IL 60637-1447 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 8888240200 |
| Mailing Telephone | (773) 702-1150 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2017-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 125068829 | IL | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 1497101018 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363438 | Blake Mccullough Williams | Nurse Practitioner | 1017 N Pine St, Deridder, LA 70634-2817 | 2020-07-06 |
| 1245624626 | Blake C Williams | Nurse Practitioner | 1215 Pleasant St Ste 506, Des Moines, IA 50309-1418 | 2015-03-24 |
| 1942619275 | Blake Thomas Williams | Optometrist | 2394 H G Mosley Pkwy, Longview, TX 75604-3661 | 2014-08-12 |
| 1164764684 | Blake Kent Williams | Family Medicine | 780 Main St Ste 102, Great Barrington, MA 01230 | 2013-03-22 |
| 1326319419 | Blake Reed Williams | Counselor | 10593 Rockview Ct, Auburn, CA 95602 | 2012-01-20 |
| 1386814267 | Blake Aaron Williams | Chiropractor | 1211 12th Ave Se Ste 102, Dyersville, IA 52040-2412 | 2008-03-06 |
| 1932747342 | Blake Williams | Pharmacist | 4910 I 55 N, Jackson, MS 39211-5401 | 2019-12-16 |
| 1194082057 | Blake Anthony Williams | Dermatology | 901 Se Plaza Ave, Suite 5, Bentonville, AR 72712-5697 | 2012-04-17 |
| Street Address |
5841 S MARYLAND AVE # MC2114 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639436777 | Asim Visal Farooq | Ophthalmology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2012-04-13 |
| 1710448162 | Jacob Kanter | Ophthalmology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2019-03-28 |
| 1730640236 | Alessandra Hirsch | Obstetrics & Gynecology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2019-03-27 |
| 1063972370 | Lindsay Youngmi Chun | Internal Medicine | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2019-03-22 |
| 1033679493 | Shivam Vipul Amin | Ophthalmology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2019-03-21 |
| 1952898520 | Farida Esaa Hakim | Ophthalmology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2018-04-18 |
| 1932605672 | Zhuangjun Si | Ophthalmology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637 | 2018-04-02 |
| 1871943092 | Steven Quan | Optometrist | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2016-06-18 |
| 1154717809 | Christopher Joseph Lehmann | Internal Medicine | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637-1443 | 2015-04-09 |
| 1164840906 | Rahul Komati | Ophthalmology | 5841 S Maryland Ave # Mc2114, Chicago, IL 60637 | 2014-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894189 | Lakeshore Ophthalmology, LLC | Ophthalmology | 2525 S Michigan Ave Fl 8, Chicago, IL 60616-2315 | 2020-06-01 |
| 1053940460 | Neil L Ross | Ophthalmology | 950 N Michigan Ave Apt 5403, Chicago, IL 60611-7535 | 2020-04-07 |
| 1770149049 | Rop Consultants LLC | Ophthalmology | 5228 N Virginia Ave, Chicago, IL 60625-4015 | 2019-05-13 |
| 1962969881 | Monique Munro | Ophthalmology | 1855 W Taylor Street. Suite 3138 Illinois Eye and Infir, Chicago, IL 60612 | 2019-02-27 |
| 1063987345 | Chataam Optical LLC | Ophthalmology | 8741 S Greenwood Ave Ste 108, Chicago, IL 60619-7058 | 2018-10-12 |
| 1740717149 | Samuel Philip Burke | Ophthalmology | 1855 W Taylor St Rm 3.138, Chicago, IL 60612-7242 | 2017-05-16 |
| 1528430873 | Yana Kiesau M.d., LLC | Ophthalmology | 3423 N Seeley Ave, Chicago, IL 60618-6113 | 2015-10-27 |
| 1245619105 | Anna Mackin | Ophthalmology | 5841 S Maryland Ave # Mc 1052, Chicago, IL 60637-1447 | 2015-05-26 |
| 1932587656 | John Douglas Wilgucki II | Ophthalmology | 1855 W Taylor St Ste 2.50, Chicago, IL 60612-7242 | 2015-05-14 |
| 1609253145 | Mary Kathleen Russell | Ophthalmology | 259 E Erie St Ste 1500, Chicago, IL 60611-3111 | 2015-05-05 |
| Find all providers in CHICAGO | ||||
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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.