DR. MARIA BLAZE (NPI# 1528448339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528448339 |
| Entity Type | Individual |
| Full Name | DR. MARIA BLAZE |
| Credential | PHARMD |
| Practice Address |
1900 E Main St Danville IL 61832-5100 |
| Mailing Address |
3495 Bailey Ave (119) Buffalo NY 14215-1129 |
| Practice Telephone | 2175543860 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 55587 | TX | Pharmacy Service Providers |
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
55587 | TX | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3495 Bailey Ave, (119), Buffalo, NY 142151129 | 7168349200 |
| Street Address |
1900 E MAIN ST |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349799 | Inwha Kim | Internal Medicine | 1900 E Main St, Danville, IL 61832-5100 | 2005-07-11 |
| 1033719208 | Shanon Imena Hardin | Prosthetist | 1900 E Main St, Danville, IL 61832-5100 | 2020-10-27 |
| 1952918435 | Nell Marie Aschenbrener | Social Worker | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-28 |
| 1720693625 | Konrad E Biedron | Psychologist | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-09 |
| 1639783244 | Edward Michael Maher IIi | Peer Specialist | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-01 |
| 1114535747 | Kristina Singh Gill | Pharmacist | 1900 E Main St, Danville, IL 61832-5100 | 2020-07-20 |
| 1609493303 | Brandy Mysliwiec | Psychologist | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-29 |
| 1750907796 | John Luis Mclaughlin | Counselor | 1900 E Main St, Danville, IL 61832-5198 | 2020-06-24 |
| 1023633310 | Thomas Nguyen | Social Worker | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-11 |
| 1164047775 | Jane Mary Lakayil | Optometrist | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972950442 | Norman Howard Leeds | Pharmacist | 5 Grenadier Ct, Lincolnshire, IL 60069-3343 | 2016-05-15 |
| 1144600693 | Tatiana Mauda | Pharmacist | 1310 W 18th St Apt 3b, Chicago, IL 60608-3132 | 2015-05-30 |
| 1558640656 | David G. Fuentes Jr. | Pharmacist | 1400 N Roosevelt Blvd, 245, Schaumburg, IL 60173-4377 | 2011-08-08 |
| 1518044098 | Todd Paul Semla | Pharmacist | 2732 Lincolnwood Dr, Evanston, IL 60201-1229 | 2006-11-01 |
| 1881695708 | Jennifer L Zacher | Pharmacist | 852 S West St, Naperville, IL 60540-6400 | 2005-08-02 |
| 1407853609 | Randy Dale Malan | Pharmacist | 401 N 4th St, First Floor, Springfield, IL 62702-5255 | 2005-07-01 |
| 1326045675 | Christopher Michael Gillette | Pharmacist | 228 Ne Jefferson Ave, Peoria, IL 61603-3639 | 2005-07-01 |
| 1588280937 | Laine Ferrill | Pharmacist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-06-22 |
| 1568990802 | Amy Butz | Pharmacist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2017-05-31 |
| 1477838886 | Jamie C Holmes | Pharmacist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2011-10-17 |
| 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.