Dr Kathleen Ackman Blake, MD | |
126 W First Street, Hinsdale, IL 60521 | |
(630) 325-5200 | |
(630) 325-5569 |
Full Name | Dr Kathleen Ackman Blake |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Location | 126 W First Street, Hinsdale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497734966 | NPI | - | NPPES |
L77523 | Other | IL | MEDICARE PTAN |
0360647112 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 0360647112 (Illinois) | Primary |
Entity Name | Hinsdale Eye Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992176580 PECOS PAC ID: 0345544557 Enrollment ID: O20160209001858 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathleen Ackman Blake, MD 126 W First Street, Hinsdale, IL 60521 Ph: (630) 325-5200 | Dr Kathleen Ackman Blake, MD 126 W First Street, Hinsdale, IL 60521 Ph: (630) 325-5200 |
Dr. Ranjana Chauhan, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 908 N Elm St Ste 104, Hinsdale, IL 60521 Phone: 630-322-8300 | |
Cathleen M Cronin, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 908 N Elm St Ste 115, Hinsdale, IL 60521 Phone: 630-668-8250 Fax: 630-668-8916 | |
Audrey L Wayne, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 12 Salt Creek Lane, Ste 100, Hinsdale, IL 60521 Phone: 630-654-4551 Fax: 630-654-0498 | |
Dr. Carl Ronald Lindberg, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 908 N Elm St Ste 115, Hinsdale, IL 60521 Phone: 708-579-3090 Fax: 708-579-3094 | |
Bruce Larson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 126 W First St, Hinsdale, IL 60521 Phone: 630-325-5200 Fax: 630-325-5569 |