Christopher Thomas Blanford, MD | |
535 Park Ave E, Princeton, IL 61356-2537 | |
(815) 875-4531 | |
(815) 876-2118 |
Full Name | Christopher Thomas Blanford |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 535 Park Ave E, Princeton, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306286950 | NPI | - | NPPES |
036139239 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036139239 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Anthony Medical Center For Home Care | Rockford, IL | Home health agency |
In-home Care Connection Home Health Services | Moline, IL | Home health agency |
Osf Home Health-western Region | Galesburg, IL | Home health agency |
Perry Memorial Hospital | Princeton, IL | Hospital |
Saint Francis Medical Center | Peoria, IL | Hospital |
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
Manor Court Of Princeton | Princeton, IL | Nursing home |
Aperion Care Princeton | Princeton, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Healthcare System | 4284541806 | 77 |
Entity Name | Julia Rackley Perry Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619934833 PECOS PAC ID: 1153312798 Enrollment ID: O20040525000980 |
Entity Name | Osf Healthcare System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Christopher Thomas Blanford, MD 530 Park Ave E, Medical Staff Services, Princeton, IL 61356-3903 Ph: (815) 876-2293 | Christopher Thomas Blanford, MD 535 Park Ave E, Princeton, IL 61356-2537 Ph: (815) 875-4531 |
Manuel R Ascano Sr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 Fax: 815-876-2118 | |
Robert E Mestan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 | |
Miss Robin L Rose, APRN, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 | |
Martin Faber, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 Fax: 815-872-1535 |