Joseph E Blahut (NPI# 1083779342, PAC ID# 2062412133) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083779342 |
| PAC ID by PECOS | 2062412133 |
| Professional Enrollment ID | I20070115000179 |
| Full Name | Joseph E Blahut |
| Organization Legal Name | FAMILY MEDICINE SPECIALISTS, INCORPORATED |
| Address |
9700 N Main St Richmond IL 60071-7716 |
| Phone Number | 8156784181 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0042206252 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3801 Running Brook Farm Blvd, Johnsburg, IL 60051-5425 | 8153447741 | FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT S C |
| 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 8475262151 | FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT S C |
| 930 Mount Prospect Plz, Mount Prospect, IL 60056-2652 | 8477971962 | FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT S C |
| 9700 N Main St, Richmond, IL 60071-7716 | 8156784181 | FAMILY MEDICINE SPECIALISTS, INCORPORATED |
| 3849 Northridge Dr, Rockford, IL 61114-4773 | 8153296909 | FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT S C |
| 2680 N Il Route 83, Round Lake Beach, IL 60073-4983 | 2243727780 | FAMILY MEDICINE SPECIALISTS OF ROUND LAKE INCORPORATED SC |
| 431 W Liberty St, Wauconda, IL 60084-2452 | 8475262151 | FAMILY MEDICINE SPECIALISTS, INCORPORATED |
| Organization Legal Name | FAMILY MEDICINE SPECIALISTS, INCORPORATED |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlyn Jamie Lundgren | Nurse Practitioner | Family Medicine Specialists, Incorporated | 431 W Liberty St, Wauconda, IL 60084-2452 |
| Karen Anne Fermin Violago | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Jaimie Salise | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Tzvetan Tochkov Naydenov | Family Medicine | Family Medicine Specialists, Incorporated | 431 W Liberty St, Wauconda, IL 60084-2452 |
| Rebecca A Lambo | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Richard J.a. Villaceran | Nurse Practitioner | Family Medicine Specialists, Incorporated | 9700 N Main St, Richmond, IL 60071-7716 |
| Nneka Osude | Nurse Practitioner | Family Medicine Specialists, Incorporated | 431 W Liberty St, Wauconda, IL 60084-2452 |
| David J Alengo | Family Medicine | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Mallory J Iverson | Nurse Practitioner | Family Medicine Specialists, Incorporated | 431 W Liberty St, Wauconda, IL 60084-2452 |
| Jessica Helen Partyka | Nurse Practitioner | Family Medicine Specialists, Incorporated | 431 W Liberty St, Wauconda, IL 60084-2452 |
| Street Address |
9700 N MAIN ST |
| City | RICHMOND |
| State | IL |
| Zip | 60071-7716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard J.a. Villaceran | Nurse Practitioner | Family Medicine Specialists, Incorporated | 9700 N Main St, Richmond, IL 60071-7716 |
| Lisabeth N Morrisroe | Nurse Practitioner | Family Medicine Specialists, Incorporated | 9700 N Main St, Richmond, IL 60071-7716 |
| Wendy Marie Belletynee | Nurse Practitioner | Family Medicine Specialists, Incorporated | 9700 N Main St, Richmond, IL 60071-7716 |
| Nicole Hendrickson | Nurse Practitioner | Family Medicine Specialists, Incorporated | 9700 N Main St, Richmond, IL 60071-7716 |
| Kathleen M Mariani | Physician Assistant | Family Medicine Specialists, Incorporated | 9700 N Main St, Richmond, IL 60071-7716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim Albright | Family Medicine | Mercy Health System Corporation | 9715 Prairie Rdg, Richmond, IL 60071-9112 |
| Jessica Anne Frericks | Chiropractic | 10007 N Main St D, Richmond, IL 60071-9466 | |
| Katherine Margaret Horner | Optometry | 10016 N Main St, Richmond, IL 60071-9503 |
| City | RICHMOND |
| Zip Code | 60071 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RICHMOND + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.