| Ami Marie Blaha, | |
|
2490 Bushwood Dr, Elgin, IL 60124-7898 | |
| (224) 293-5200 | |
| Not Available |
| Full Name | Ami Marie Blaha |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 2490 Bushwood Dr, Elgin, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710861828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.032869 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Immediate Care North Chicago Llc | 8729064159 | 256 |
| Entity Name | Physicians Immediate Care North Chicago LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Mailing Address | Practice Location Address |
|---|---|
| Ami Marie Blaha, 5117 Madison St, Hillside, IL 60162-1428 Ph: (708) 218-3440 | Ami Marie Blaha, 2490 Bushwood Dr, Elgin, IL 60124-7898 Ph: (224) 293-5200 |
Jacob Thomas Baker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Randall Rd Ste 210, Elgin, IL 60123 Phone: 224-760-7322 |
Caroline Odior Shodunola, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Douglas Ave Ste 253, Elgin, IL 60120 Phone: 224-342-5417 Fax: 224-857-2573 |
David Woods, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Douglas Ave Ste 273, Elgin, IL 60120 Phone: 847-595-0620 |
Shay Lynn Ward, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1752 Capital St, Elgin, IL 60124 Phone: 847-695-3680 Fax: 847-695-4552 |
Tiffany Robinson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 S Grove Ave Unit 308, Elgin, IL 60120 Phone: 312-581-8000 |
Alyssa Marie Cowing, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Randall Rd Ste 210, Elgin, IL 60123 Phone: 224-760-7322 |
Jaclyn Mastrangeli, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 847-742-9800 |