MARIO BLANQUEL (NPI# 1114475522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114475522 |
| Entity Type | Individual |
| Full Name | MARIO BLANQUEL |
| Practice Address |
2900 Foxfield Rd St Charles IL 60174-5799 |
| Practice Telephone | 6302083200 |
| Mailing Telephone | 6302083200 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2018-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | IL | Student, Health Care |
| Street Address |
2900 FOXFIELD RD |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-5799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657524 | Vivian S Vanroekel | Internal Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2005-05-23 |
| 1548637879 | Caitlin Rogers | Nurse Practitioner | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2015-08-21 |
| 1780093187 | Elliot Paul Johnson | Physician Assistant | 2900 Foxfield Rd, Suite 102, St Charles, IL 60174-5799 | 2014-08-11 |
| 1518383629 | Rebecca Thulson | Nurse Practitioner | 2900 Foxfield Rd, Suite 101, St Charles, IL 60174-5799 | 2014-03-13 |
| 1831523414 | Jeffrey David Samburg | Physical Therapist | 2900 Foxfield Rd, Suite 205, St Charles, IL 60174-5799 | 2013-08-30 |
| 1821422809 | Samuel Lloyd Wilson | Physical Therapist | 2900 Foxfield Rd, Suite 205, St Charles, IL 60174-5799 | 2013-08-27 |
| 1861752123 | Julie Ann Gorski | Family Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2012-05-21 |
| 1760776371 | Melissa Fish | Family Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2011-06-01 |
| 1720381965 | Central Dupage Health | Non-Pharmacy Dispensing Site | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2010-12-09 |
| 1710292727 | Sarah Hourselt | Nurse Practitioner | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2010-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053860361 | Tyler Kraft | Specialist/Technologist | 6n961 Glenview Dr, St Charles, IL 60175-1900 | 2016-09-27 |
| 1932541778 | Charles Edward Harrier | Specialist/Technologist | 1020 Dunham Rd, St Charles, IL 60174-1440 | 2013-07-22 |
| 1104869676 | Richard Monis | Specialist/Technologist | 1400 Foundry St, St Charles, IL 60174-1530 | 2006-06-13 |
| 1386603975 | Therese Marie Labuz | Specialist/Technologist | 255 Red Gate Rd, St Charles, IL 60175-6396 | 2006-03-21 |
| 1497952451 | Brent C Huff | Specialist/Technologist | 525 Tyler Rd, Suite J, St Charles, IL 60174-3305 | 2007-07-02 |
| 1043264922 | Michelle S. Kramer | Specialist/Technologist | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771076 | Stacey Weathers-cannon | Specialist/Technologist | 650 Ingraham Ave, Calumet City, IL 60409-4236 | 2020-08-17 |
| 1104438621 | Abril Malagon | Specialist/Technologist | 1 S Greenwood Ave, Palatine, IL 60074-6328 | 2020-08-17 |
| 1265050678 | Megan Elsbree | Specialist/Technologist | 11819 Deacon Dr, Rockton, IL 61072-9411 | 2020-07-13 |
| 1013534437 | Nicole Rose Mondelli | Specialist/Technologist | 958 Tallgrass Dr, Bartlett, IL 60103-5071 | 2020-07-01 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1164047239 | Madison Stagman | Specialist/Technologist | 280 Douglas Ave Apt 4, Mascoutah, IL 62258-2963 | 2020-06-14 |
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1336761386 | Christine Louise Shebelski | Specialist/Technologist | 15203 Pulaski Rd, Midlothian, IL 60445-3755 | 2020-05-13 |
| 1386266633 | Kathryn Riordan | Specialist/Technologist | 221 Triton Ln, Naperville, IL 60540-7926 | 2020-05-09 |
| 1487276747 | Vianey Hernandez-ramirez | Specialist/Technologist | 4115 Howard St, Skokie, IL 60076-3749 | 2020-05-09 |
| Find all providers with the same taxonomy | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
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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.