EDWARD A BLUMEN


Address: 909 Davis St, Suite 200, Evanston, IL 60201-3645
Phone: 8478663700

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
000468 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 909 DAVIS ST
SUITE 200
City EVANSTON
State IL
Zip Code 60201-3645

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710926423 James Strand Mcculloch Family Medicine 909 Davis St, Suite 200, Evanston, IL 60201-3645 2006-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043811425 Devon Homecare Physicians Inc. Family Medicine 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 2020-11-03
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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Competitor

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City EVANSTON
Zip Code 60201

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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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