ELIZABETH BLAIR


Address: 1200 W State St, Rockford, IL 61102-2112
Phone: 8154901600

ELIZABETH BLAIR (NPI# 1689657660) 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) 1689657660
Entity Type Individual
Full Name ELIZABETH BLAIR
Credential APN
Practice Address 1200 W State St
Rockford
IL 61102-2112
Mailing Address 2586 S Golf Rd
Stockton
IL 61085-9367
Practice Telephone 8154901600
Mailing Telephone 8159472179
Enumeration Date 2005-11-23
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers ELIZABETH BLAIR

NPI Name Taxonomy Address Enumeration
1447808498 Elizabeth Ann Blair Physician Assistant 24623 Birdie Rdg, San Antonio, TX 78260-7847 2019-09-03
1528418746 Elizabeth Blair Speech-Language Pathologist 1310 Gables Dr Ne, Brookhaven, GA 30319-5345 2016-06-18
1033272216 Elizabeth Dale Blair Psychologist 280 North Providence Road, Media, PA 19063 2006-12-18
1679632897 Elizabeth Astin Blair Otolaryngology 5841 S Maryland Ave # 1035, Chicago, IL 60637-1447 2006-12-06
1427446095 Elizabeth Blair Physical Therapist 2500 Overlook Ter, Madison, WI 53705-2254 2015-01-05
1225370729 Elizabeth Blair Pharmacist 3001 Market Center Dr, Morrisville, NC 27560-7505 2013-03-22
1538201553 Elizabeth Blair Obstetrics & Gynecology 48 Medical Park Dr E, Suite 355, Birmingham, AL 35235-3400 2007-02-13
1629139688 Elizabeth Louise Blair Chiropractor 3611 Main St, Suite 103, Kansas City, MO 64111-1932 2006-12-13
1356432827 Elizabeth M Blair Nurse Practitioner 1 Joslin Pl, Boston, MA 02215-5306 2006-09-27
1730107228 Elizabeth Marie Blair Psychologist 5900 N Port Washington Rd, Ste 230, Glendale, WI 53217 2006-07-17

Office Location

Street Address 1200 W STATE ST
City ROCKFORD
State IL
Zip Code 61102-2112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780680827 Barbara B Morgan Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2005-06-23
1588271894 Angela Siebold Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2020-09-30
1942814322 Jacqueline Paige Cabrera Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2020-09-03
1285250951 Aaleeyah Pringle Alim Dentist 1200 W State St, Rockford, IL 61102-2112 2020-06-18
1639792419 Jessica Lauren Cole Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2020-05-27
1437779071 Christian Murillo Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2020-04-23
1033746573 Erin Ashleigh Donahue Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2020-03-25
1609406008 Marissa Dreger Family Medicine 1200 W State St, Rockford, IL 61102-2112 2020-01-24
1962041657 Sabrina Lee Puvalowski Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2019-12-30
1932741717 Jacob Dalton Boehm Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2019-10-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205115383 Renee Lynn Keeney Advanced Practice Midwife 1200 W. State Street, Crusader Community Health, Rockford, IL 61102 2011-08-08
1689895906 Linda Lou O'reilly Local Education Agency (LEA) 1515 S. Meridian Road, Rockford, IL 61102 2007-05-02
1801012992 Jennifer Anne Boyd Developmental Therapist Nia 1515 S. Meridian Rd., Rockford, IL 61102 2007-04-17
1609173434 Kellie J Gibbons Registered Nurse 650 W State Street, Winnebago County Jail Medical Unit, Rockford, IL 61102-0000 2011-02-14
1275708752 Mercy Ambulance Service LLC Ambulance 1025 Campton Dr, Rockford, IL 61102-1066 2008-04-25
1417448424 Brittany Nicole Lambert Student in an Organized Health Care Education/Training Program 8040 Towermont Dr, Rockford, IL 61102-1080 2018-05-24
1164490132 Harlan Johnson Counselor 852 Lakewood Dr, Rockford, IL 61102-1228 2006-03-08
1184137283 Gail Mary Swenson Speech-Language Pathologist 730 Lincoln Park Blvd, Rockford, IL 61102-1429 2017-11-10
1659316339 Institute of Family Care Home Health 417 S Pierpont Ave, Rockford, IL 61102-1656 2006-06-18
1861851438 Walgreen Co Durable Medical Equipment & Medical Supplies 1200 W State St Ste 102, Rockford, IL 61102-2112 2016-02-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174138481 Kelly Ann Twigg Nurse Practitioner 5669 Shelley Rd, Rockford, OH 45882-9577 2020-09-14
1699389882 Mary Ann Shaw Nurse Practitioner 207 W Main Ave, Rockford, IA 50468-1213 2020-09-04
1124632922 Catherine Nwosu Nurse Practitioner 3455 Holiday Dr Apt 10, Rockford, IL 61109-2489 2020-08-31
1790314631 Toni A Hughart Nurse Practitioner 6000 E State St, Rockford, IL 61108-2521 2020-04-03
1578199220 Keli S Griseta Nurse Practitioner 3505 N Bell School Rd, Rockford, IL 61114-6624 2020-03-13
1457986069 Nicole P Falatic Nurse Practitioner 153 Glen Eagle Dr Ne, Rockford, MI 49341-1183 2020-03-04
1194367912 Matt J Kriebs Nurse Practitioner 1235 N Mulford Rd Suite 103, Rockford, IL 61107 2019-10-14
1952869943 Angela Marie Hawkins Nurse Practitioner 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 2019-03-08
1487110540 Karrie Hagger Nurse Practitioner 7476 Countryshire Ln, Rockford, IL 61107-2774 2019-02-13
1336652700 Stacey Jo Caler Nurse Practitioner 363 Financial Ct Unit 300, Rockford, IL 61107-6671 2017-11-08
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Competitor

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City ROCKFORD
Zip Code 61102

Improve Information

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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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