DR. GRACE BLITZER


Address: 2400 N Rockton Ave, Rockford, IL 61103-3655
Phone: 8159716188

DR. GRACE BLITZER (NPI# 1053844852) 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) 1053844852
Entity Type Individual
Full Name DR. GRACE BLITZER
Credential MD
Practice Address 2400 N Rockton Ave
Rockford
IL 61103-3655
Practice Telephone 8159716188
Practice Fax Number 8159689677
Mailing Telephone 8159716188
Mailing Fax Number 8159689677
Enumeration Date 2017-04-07
Last Update Date 2020-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0001X Radiology
Specialization: Radiation Oncology
71953-20 WI Allopathic & Osteopathic Physicians
Y 2085R0001X Radiology
Specialization: Radiation Oncology
036153596 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
WI 1053844852 05
IL 036153596 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8201 E Riverside Blvd, Rockford, IL 611142300 8159717000
1000 Mineral Point Ave, Janesville, WI 535482982 6087566731

Office Location

Street Address 2400 N ROCKTON AVE
City ROCKFORD
State IL
Zip Code 61103-3655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457357592 Michael J Kikta Surgery 2400 N Rockton Ave, Rockford, IL 61103-3655 2005-06-23
1053950055 Tina Longphee Registered Nurse 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-12-23
1598227407 Shahid Mohammad Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-04-01
1265993109 Sarah Elaine Robertson Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-25
1770042525 Vinita Patel Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-19
1255890646 Gilda Djabarzade Student in an Organized Health Care Education/Training Program 2400 N Rockton Ave, Rockford, IL 61103-3655 2019-03-15
1285103002 Amy Lask Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-11-21
1477038743 Michelle Harris Advanced Practice Midwife 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-10-02
1134603095 Sarah R Linder Nurse Practitioner 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-09-17
1376022350 Atiq Urrehman Khan Psychiatry & Neurology 2400 N Rockton Ave, Rockford, IL 61103-3655 2018-08-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
Find all providers in zip 61103

Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730511379 Swedishamerican Hospital Radiology 3535 N Bell School Rd, Rockford, IL 61114 2013-08-06
1477840320 Maryam Hamidi Radiology 2400 N Rockton Ave, Rockford, IL 61103-3655 2011-06-29
1922394402 Benjamin Y Durkee Radiology 3535 N Bell School Rd, Rockford, IL 61114 2011-06-23
1164641791 Iftekhar Y Ahmad Radiology 5666 East State Street, Rockford, IL 61108-2425 2007-04-24
1134141773 Virendra Saxena Radiology 1401 E State St, Rockford, IL 61104-2315 2006-07-24
1295753259 Prakash Pedapati Radiology 3535 N Bell School Rd, Rockford, IL 61114 2006-07-18
1447287495 George T Bryan Jr. Radiology 5666 East State Street, Rockford, IL 61108-2472 2006-06-27
1801839519 Gregory M. Richards Radiology 2400 N Rockton Ave, Rockford, IL 61103-3655 2006-06-13
1336188705 Joycelyn L. Speight Radiology 3535 N Bell School Rd, Rockford, IL 61114-6624 2006-06-04
1831184654 Rockford Radiation Oncology Ltd Radiology 2400 N Rockton Ave, Dept Radiation Oncology, Rockford, IL 61103-3655 2005-09-19
Find all providers in ROCKFORD

Competitor

Search similar providers

City ROCKFORD
Zip Code 61103

Improve Information

Please comment or provide details below to improve the information on DR. GRACE BLITZER.

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.

Trending Searches