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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
036045525 | IL | Allopathic & Osteopathic Physicians |
Street Address |
1103 BERKLEY LN |
City | LEMONT |
State | IL |
Zip Code | 60439-8940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Find all providers in zip 60439 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
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. |
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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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.