EDWARD A BLUMEN (NPI# 1659310894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659310894 |
Entity Type | Individual |
Full Name | EDWARD A BLUMEN |
Credential | M.D. |
Practice Address |
909 Davis St Suite 200 Evanston IL 60201-3645 |
Mailing Address |
2650 Ridge Ave Evanston Hospital Rm 1210 Evanston IL 60201-1718 |
Practice Telephone | 8478663700 |
Practice Fax Number | 8478663731 |
Mailing Telephone | 8475701206 |
Mailing Fax Number | 8475701248 |
Enumeration Date | 2006-06-05 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
000468 | IL | Allopathic & Osteopathic Physicians |
Street Address |
909 DAVIS ST SUITE 200 |
City | EVANSTON |
State | IL |
Zip Code | 60201-3645 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578540985 | Charles A. Thorsen IIi | Internal Medicine | 909 Davis St, Evanston, IL 60201-3664 | 2005-12-28 |
1992240246 | Natalie Anne Ruth Winiarski | Social Worker | 909 Davis St, Suite 160, Evanston, IL 60201-3683 | 2016-12-22 |
1194173013 | David Bellisario | Physical Therapist | 909 Davis St, Suite 220, Evanston, IL 60201-3683 | 2016-06-01 |
1821446378 | Omega Koch | Physical Therapist | 909 Davis St, Suite 220, Evanston, IL 60201-3683 | 2016-05-25 |
1669827515 | Jordan Shelley | Physical Therapist | 909 Davis St, Evanston, IL 60201-3683 | 2016-04-28 |
1619331188 | Kelly Benfey | Physical Therapist | 909 Davis St, Evanston, IL 60201-3683 | 2016-04-11 |
1992113146 | Andrea Mueller | Physical Therapist | 909 Davis St, Suite 220, Evanston, IL 60201-3683 | 2014-07-31 |
1699183962 | Travis Minniear | Physical Therapist | 909 Davis St, Suite 220, Evanston, IL 60201-3683 | 2014-07-30 |
1548674336 | Brenda Hernandez | Psychologist | 909 Davis St, Evanston, IL 60201-3683 | 2014-06-19 |
1346664265 | Lara J. Jakobsons | Psychologist | 909 Davis St, Suite 160, Evanston, IL 60201-3683 | 2014-02-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
Find all providers in zip 60201 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710926423 | James Strand Mcculloch | Family Medicine | 909 Davis St, Suite 200, Evanston, IL 60201-3645 | 2006-06-06 |
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1659915171 | Amanda Marie Wilderman | Family Medicine | 1268 Cole Place Rd, Chester, IL 62233-2054 | 2019-10-29 |
1699277038 | Eileen A Solis | Family Medicine | 1795 Grandstand Pl Ste 2, Elgin, IL 60123-4980 | 2018-03-01 |
1841703584 | Home Physicians of Illinois LLC | Family Medicine | 10027 Frontage Rd, Skokie, IL 60077-1033 | 2017-11-15 |
1770953986 | Mrs Integrative Medicine LLC | Family Medicine | 3s630 Glen Dr S, Warrenville, IL 60555-3506 | 2015-09-30 |
1447666318 | M & F Medical Services, Ltd | Family Medicine | 5642 N Christiana Ave, Chicago, IL 60659-4555 | 2014-07-10 |
1457767774 | Rambha Radhakrishnan | Family Medicine | 2645 W Peterson Ave, Chicago, IL 60659-4017 | 2014-07-08 |
1851733133 | Pyramids Advisors, Inc. | Family Medicine | 6427 Dempster St, Morton Grove, IL 60053-2604 | 2013-07-26 |
1558707075 | Jean M. Pouget | Family Medicine | 175 Northgate Rd, Riverside, Riverside, IL 60546-1683 | 2013-05-13 |
1629411806 | Rahman Fazil Mohammed Abdul | Family Medicine | 9011 W Ballard Rd Apt 1a, Des Plaines, IL 60016-4987 | 2013-04-08 |
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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.