| Jeffrey Blank, | |
|
31 W Dundee Rd, Wheeling, IL 60090-4863 | |
| (847) 215-1525 | |
| (312) 642-9311 |
| Full Name | Jeffrey Blank |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 35 Years |
| Location | 31 W Dundee Rd, Wheeling, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235142605 | NPI | - | NPPES |
| 200820 | Other | IL | MEDICARE B |
| 480015544 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO 2074 (Florida) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016004427 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crystal Lake Foot And Ankle Center Llc | 2264896927 | 2 |
| Provider Name | Quality Podiatry Group Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760585814 PECOS PAC ID: 8325033400 Enrollment ID: O20040419000024 |
| Provider Name | Podiatry Service Of America Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720501257 PECOS PAC ID: 2668745282 Enrollment ID: O20170901002408 |
| Provider Name | Crystal Lake Foot & Ankle Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649986795 PECOS PAC ID: 2264896927 Enrollment ID: O20230913002600 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Blank, 31 W Dundee Rd, Wheeling, IL 60090-4863 Ph: (847) 215-1525 | Jeffrey Blank, 31 W Dundee Rd, Wheeling, IL 60090-4863 Ph: (847) 215-1525 |
Paul Potach D.p.m.,p.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 31 W Dundee Rd, Wheeling, IL 60090 Phone: 847-215-1525 Fax: 847-215-7682 | |
Howard Ira Sterling, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1519 Cedarwood Ln, Wheeling, IL 60090 Phone: 847-398-0464 | |
Dr. Paul Potach, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 31 West Dundee, Wheeling, IL 60090 Phone: 847-215-1525 Fax: 847-215-7682 | |
Dr. Simon Donets, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 77 S Milwaukee Ave, Wheeling, IL 60090 Phone: 847-392-8080 Fax: 847-279-0595 | |
Dr. Anthony Spitz,dpm,pc Podiatrist Medicare: Medicare Enrolled Practice Location: 505 N Wolf Rd, Wheeling, IL 60090 Phone: 847-465-9311 | |
Podiatry Service Of America Corp Podiatrist Medicare: Medicare Enrolled Practice Location: 31 W Dundee Rd, Wheeling, IL 60090 Phone: 847-215-1525 |