MANUEL P. BLAS


Address: 1103 Berkley Ln, Lemont, IL 60439-8940
Phone: 6302572011

MANUEL P. BLAS (NPI# 1598033953) 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) 1598033953
Entity Type Individual
Full Name MANUEL P. BLAS
Credential M.D.
Practice Address 1103 Berkley Ln
Lemont
IL 60439-8940
Practice Telephone 6302572011
Mailing Telephone 6302572011
Enumeration Date 2011-12-13
Last Update Date 2011-12-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
036045525 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1103 BERKLEY LN
City LEMONT
State IL
Zip Code 60439-8940

Providers in the same zip code

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1801377916 Stephanie Ann Size Nurse Practitioner 135th St & New Avenue, Lemont, IL 60439 2018-08-27
1093267544 Blayne Denise Yarmat Specialist/Technologist 15822 132nd St, Lemont, IL 60439 2016-11-01
1720448848 Fresenius Medical Care Lemont, LLC Clinic/Center 16177 W 127th Street, Lemont, IL 60439 2016-03-02
1629341433 Autism Behavior & Childhood Service, Inc. Community/Behavioral Health 13664 Anne Drive, Lemont, IL 60439 2012-02-10
1295016186 Frank James Enright II Pharmacist 15575 127th Street, Lemont, IL 60439 2011-09-06
1457632804 Sherry A O'malley Pharmacist 15575 W 127th St, Lemont, IL 60439 2011-08-30
1093017394 Cristy M Calderon Behavioral Analyst 13664 Anne Dr, Lemont, IL 60439 2010-11-19
1902119068 Dr Jean Garbolski and Associates Family Medicine 14232 Mccarthy Road, Lemont, IL 60439 2010-07-19
1356660278 Chongyang Li Registered Nurse 20 W 214 Meadow Ln, Lemont, IL 60439 2010-05-18
1972768935 Jennifer L. Splitt-krull Dentist 160-b East Wend Street, Lemont, IL 60439 2008-07-18
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295365005 Interventional Pain Consultants LLC Pain Medicine 4972 Benchmark Centre Dr Ste 400, Swansea, IL 62226-2070 2020-01-21
1922588110 Pain Specialists of Greater Chicago S C Pain Medicine 15300 West Ave Ste C213, Orland Park, IL 60462 2018-08-16
1164940813 Leonard Cerullo, Md, Ltd Pain Medicine 680 N Lake Shore Dr Ste 1428, Chicago, IL 60611-3461 2017-09-01
1417472887 Kimberly Lynch Pain Medicine 5801 S Ellis Ave, Chicago, IL 60637-5418 2017-08-07
1538356233 Lake Shore Therapy Center, Inc. Pain Medicine 2338 W Morse Ave, 1 A, Chicago, IL 60645-4767 2007-09-27
1295811479 Illinois Pain Treatment Institute, Ltd Pain Medicine 431 Summit, Elgin, IL 60120 2006-10-31
1164519005 Wayne David Kelly Pain Medicine 1883 Hicks Rd, Suite A, Rolling Meadows, IL 60008-1254 2006-10-10
1417060146 Ramesh Bathina Pain Medicine 1315 N Highland Ave # 105, Aurora, IL 60506-1400 2006-08-16
1457375115 Terri L Dallas-prunskis Pain Medicine 4309 Medical Center Dr, B103, Mchenry, IL 60050 2006-07-26
1447203153 Jay Joshi Pain Medicine 21720 W Long Grove Rd, Ste. C200, Deer Park, IL 60010-3732 2006-05-17
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Competitor

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City LEMONT
Zip Code 60439

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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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