Amy Meredith Blackburn, MD | |
1740 W Taylor St, Chicago, IL 60612-7232 | |
(866) 600-2273 | |
Not Available |
Full Name | Amy Meredith Blackburn |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 1740 W Taylor St, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801030531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036129242 (Illinois) | Primary |
Entity Name | The Bortolazzo Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Entity Name | Cep America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124073721 PECOS PAC ID: 6608056171 Enrollment ID: O20121126000128 |
Mailing Address | Practice Location Address |
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Amy Meredith Blackburn, MD 5219 Mountaincrest Dr, Knoxville, TN 37918-4522 Ph: (404) 550-1665 | Amy Meredith Blackburn, MD 1740 W Taylor St, Chicago, IL 60612-7232 Ph: (866) 600-2273 |
Jacqueline Alexandria Khorasanee, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 645 N Michigan Ave, Suite 1058a, Chicago, IL 60611 Phone: 312-503-4756 | |
Dr. Robert R Turelli Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-296-5878 Fax: 773-296-7818 | |
Dr. Kristen Grabow Moore, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 211 E Ontario St, Suite 300, Chicago, IL 60611 Phone: 312-694-7000 | |
Tomasz Piotr Lis, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000 | |
Dr. Gillian E Munitz, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 520 W Huron St, Unit 413, Chicago, IL 60654 Phone: 312-404-0200 | |
Michael Anthony Hoks Jr., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7435 W Talcott Ave, Resurrection Em Residency, Chicago, IL 60631 Phone: 773-792-7321 | |
Dr. Ro Gonsalves, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2320 E 93rd St, Chicago, IL 60617 Phone: 773-967-2000 |