Bruce A Blacker in Chicago - Internal Medicine
Bruce A Blacker - NPI 1982603924
Bruce A Blacker is a Internal Medicine in Chicago, Illinois. Bruce A Blacker practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Bruce A Blacker is 1982603924. The last update date is 2011-10-05.
Bruce A Blacker's current location address is 2800 N Sheridan Rd, Chicago, Illinois. You can contact this provider via phone number 7734725803. The mailing address for Bruce A Blacker is 2800 N Sheridan Rd, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce A Blacker |
|---|---|
| Address | 2800 N Sheridan Rd, Chicago, Illinois |
| Phone Number | 7734725803 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982603924 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2011-10-05 |
Provider Mailing Address Detail
| Address | 2800 N Sheridan Rd |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606576157 |
| Phone Number | 7734725803 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36072584 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36072584 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bruce A Blacker by the Centers for Medicare & Medicaid Services?
The Bruce A Blacker has been assigned the NPI (National Provider Identifier) 1982603924 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Bruce A Blacker's physical address?
The Bruce A Blacker is physically located at 2800 N Sheridan Rd, in the city of Chicago, IL, with the postal code 606576157.
What is Bruce A Blacker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bruce A Blacker is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Bruce A Blacker receive its 1982603924 assignment from the Centers for Medicare & Medicaid Services?
The Bruce A Blacker was assigned its 1982603924 by the Centers for Medicare & Medicaid Services on 2005-07-20.
As of what date were the details related to Bruce A Blacker most recently updated or revised?
The information pertaining to Bruce A Blacker, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-05.