DR. ROBERT R. BLANCO (NPI# 1487638805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487638805 |
Entity Type | Individual |
Full Name | DR. ROBERT R. BLANCO |
Credential | M.D. |
Practice Address |
9401 S Pulaski Rd Evergreen Park IL 60805-1924 |
Practice Telephone | 7084223737 |
Practice Fax Number | 7084223737 |
Mailing Telephone | 7084223737 |
Mailing Fax Number | 7084227186 |
Enumeration Date | 2005-11-30 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS | 316-03486 | 01 |
IL | 036072218 / 02 | 05 | |
IL | BCBS | 01621679 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316272099 | Robert John Blanco | Preventive Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2009-10-13 |
1619065513 | Robert L. Blanco | Psychiatry & Neurology | 2015 21st St, Suite 201, Sacramento, CA 95818-1752 | 2006-10-10 |
Street Address |
9401 S PULASKI RD |
City | EVERGREEN PARK |
State | IL |
Zip Code | 60805-1924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215447735 | Joice Illimoottil | Nurse Practitioner | 9401 S Pulaski Rd, Evergreen Park, IL 60805-1924 | 2017-10-11 |
1992097430 | Mary Beth Partyka | Nurse Practitioner | 9401 S Pulaski Rd, Suite 203, Evergreen Park, IL 60805-1924 | 2011-05-03 |
1013110444 | P C Goodwin Medical LLC | Internal Medicine | 9401 S Pulaski Rd, Suite 101, Evergreen Park, IL 60805-1924 | 2007-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
Find all providers in zip 60805 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013941053 | Thomas Bump | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2006-07-10 |
1578073888 | Chicago Heart and Vascular Centers LLC | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2017-10-02 |
1538488069 | Cardiology Group LLC | Internal Medicine | 2850 W 95th St, Suite 305, Evergreen Park, IL 60805-2735 | 2010-05-24 |
1871734723 | Luay Rifai | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2009-03-23 |
1023259777 | Wassim Ballany | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2009-03-10 |
1477731685 | Consultants In Cardiology & Electrophysiololgy LLC | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2008-02-11 |
1629191051 | Ali Raza Zaidi | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2007-04-09 |
1811085889 | William H Spear | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805 | 2006-10-11 |
1922100403 | Chadi Nouneh | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2006-09-03 |
1083628325 | Cardiovascular Consultants, LLP | Internal Medicine | 2850 W 95th St, Suite 305, Evergreen Park, IL 60805-2735 | 2006-07-29 |
Find all providers in EVERGREEN PARK |
City | EVERGREEN PARK |
Zip Code | 60805 |
Please comment or provide details below to improve the information on DR. ROBERT R. BLANCO.
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.