DR. BLAKE EDDY MAX


Address: 2020 W Harrison St, Chicago, IL 60612-3741
Phone: 3125724886

DR. BLAKE EDDY MAX (NPI# 1841466109) 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) 1841466109
Entity Type Individual
Full Name DR. BLAKE EDDY MAX
Credential PHARMD
Practice Address 2020 W Harrison St
Chicago
IL 60612-3741
Practice Telephone 3125724886
Practice Fax Number 3125724890
Mailing Telephone 3125724886
Mailing Fax Number 3125724890
Enumeration Date 2008-05-06
Last Update Date 2008-05-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
051040058 IL Pharmacy Service Providers

Office Location

Street Address 2020 W HARRISON ST
City CHICAGO
State IL
Zip Code 60612-3741

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376515379 Lauren Foster Nurse Practitioner 2020 W Harrison St, Chicago, IL 60612-3741 2006-02-03
1407468093 Ellen Zoe Sanders Physician Assistant 2020 W Harrison St, Chicago, IL 60612-3741 2020-08-17
1922618594 Althea Moore Dental Hygienist 2020 W Harrison St, Chicago, IL 60612-3741 2020-08-07
1366073256 Cook County Family Medicine 2020 W Harrison St, Chicago, IL 60612-3741 2020-01-29
1184289779 Christopher L Wilson Social Worker 2020 W Harrison St, Chicago, IL 60612-3741 2019-05-08
1861984940 Jessica Arroyo Ortiz Counselor 2020 W Harrison St, Chicago, IL 60612-3741 2018-06-04
1740781897 Deirdre Michelle Kemp Counselor 2020 W Harrison St, Chicago, IL 60612-3741 2018-02-23
1245751734 Ixchell Yanet Ortiz Estes Nurse Practitioner 2020 W Harrison St, Chicago, IL 60612-3741 2017-07-05
1316485113 Kimberly A Koralewski Counselor 2020 W Harrison St, Chicago, IL 60612-3741 2017-02-01
1346796711 Marisol Consignado Pharmacist 2020 W Harrison St, Chicago, IL 60612-3741 2016-08-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
Find all providers in zip 60612

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760099253 Kelsey Schultz Pharmacist 1058 N Paulina St Apt 2, Chicago, IL 60622-3918 2020-09-28
1922661230 Devon Burhoe Pharmacist 833 S Wood St Ste 164, Chicago, IL 60612-7229 2019-04-22
1649743626 Phoebe Sebhatu Lebeau Pharmacist 1725 W Harrison St Ste 104, Chicago, IL 60612-3832 2019-01-02
1730566233 Glen Pietrandoni Pharmacist 2100 N Racine Ave, 4d, Chicago, IL 60614-4060 2015-05-04
1952732570 Joy Ezidinma Pharmacist 3302 W Crystal St, Unit 2, Chicago, IL 60651-2375 2013-12-07
1851638605 Marketa Marvanova Pharmacist 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 2013-01-14
1255601753 Viktorija O Trakis Pharmacist 675 N Peoria St Apt 2n, Chicago, IL 60642-8324 2011-12-31
1558664896 Jaini Patel Pharmacist 2535 South Martin Luther King Drive, Chicago, IL 60616 2010-12-08
1780997684 Roger Allen Wilcox Pharmacist 6 E Monroe St Ste 1304, Chicago, IL 60603-2728 2010-07-20
1851604102 Angela M. Plewa Pharmacist 1901 W Harrison St # Ll175, Chicago, IL 60612-3714 2010-07-15
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60612

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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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