DR. RODNEY BLANCO (NPI# 1811404858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811404858 |
Entity Type | Individual |
Full Name | DR. RODNEY BLANCO |
Credential | PH.D. |
Practice Address |
1201 Eagle St Joliet IL 60432-2031 |
Practice Telephone | 8157408100 |
Enumeration Date | 2017-12-29 |
Last Update Date | 2017-12-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
20043111A | IN | Behavioral Health & Social Service Providers |
Street Address |
1201 EAGLE ST |
City | JOLIET |
State | IL |
Zip Code | 60432-2031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326006610 | Alexander Saul Kedzierski | Family Medicine | 1201 Eagle St, Joliet, IL 60432-2031 | 2006-05-03 |
1417428616 | Shawny Ann Varghese | Social Worker | 1201 Eagle St, Joliet, IL 60432-2031 | 2018-12-16 |
1134600786 | Kaylee Lynne Miller | Audiologist | 1201 Eagle St, Joliet, IL 60432-2031 | 2018-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053830943 | Abilio Milo | General Practice | 213 East Cass Street, Joliet, IL 60432 | 2017-09-12 |
1508284258 | Allison R. Nichols | Social Worker | 62 W. Washington St., Joliet, IL 60432 | 2014-03-31 |
1073950044 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1200 Eagle Street, Joliet, IL 60432 | 2013-05-30 |
1124388624 | Fresenius Medical Care of Plainfield, LLC | Clinic/Center | 721 E Jackson St., Joliet, IL 60432 | 2012-05-18 |
1730375833 | Rhonda Denise Posley | Licensed Practical Nurse | 215 Clinton, Suite B, Joliet, IL 60432 | 2007-09-21 |
1538385463 | Frank C Bender | Family Medicine | 213 E Cass St, Joliet, IL 60432 | 2007-04-18 |
1366501835 | Health Care Delivery Systems | Internal Medicine | 1301 Copperfield Avenue, Suite 202, Joliet, IL 60432 | 2006-12-08 |
1134294614 | Mary Lee Johnson | Counselor | 62 West Washington Street, Joliet, IL 60432 | 2006-11-21 |
1609953223 | Catholic Charities of The Diocese of Joliet | Community/Behavioral Health | 58 E Clinton St Ste 200, Joliet, IL 60432 | 2006-11-01 |
1487740932 | Carlla Duster Franklin | Dentist | 2241 Theodore Street, Crest Hill, IL 60432 | 2006-10-04 |
Find all providers in zip 60432 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053920249 | Hammond Psychological Services LLC | Psychologist | 2405 Essington Rd Ste B167, Joliet, IL 60435-1200 | 2020-07-23 |
1225368228 | Amy Leandra Ray | Psychologist | 350 Houbolt Rd Ste 202, Joliet, IL 60431-8305 | 2010-01-13 |
1366534489 | Lawrence E Gorski | Psychologist | 3077 W. Jefferson St., Suite 209, Joliet, IL 60435 | 2006-09-28 |
1366558553 | Midamerican Psychological Institute PC | Psychologist | 1415 Maple Rd, Joliet, IL 60432-1442 | 2006-08-21 |
1902855364 | Patricia Lynn Miller | Psychologist | 350 Houbolt Road, Suite 201, Joliet, IL 60431-8305 | 2006-05-10 |
1548263379 | Laura T Schultz | Psychologist | 13 Fairlane Dr, Joliet, IL 60435-6483 | 2005-05-24 |
1023416278 | Rita Gray II | Psychologist | 501 Ella Ave, Joliet, IL 60433-2799 | 2014-12-19 |
1942540869 | Melissa S Rowland | Psychologist | 1415 Maple Rd, Joliet, IL 60432-1442 | 2013-03-01 |
1598057713 | William J Udrow | Psychologist | 501 Ella Ave, Joliet, IL 60433-2799 | 2011-05-05 |
1457658700 | Aim Psychological Services Corp | Psychologist | 13 Fairlane Dr, Joliet, IL 60435-6483 | 2011-02-23 |
Find all providers in JOLIET |
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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.