Individual
DR. BRUCE A BLACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 N SHERIDAN RD, SUITE 400, CHICAGO, IL 60657-6157
(773) 472-5803
(773) 472-7902
Mailing address
2800 N SHERIDAN RD, SUITE 400, CHICAGO, IL 60657-6157
(773) 472-5803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036072584
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072584
—
IL
Enumeration date
07/20/2005
Last updated
10/05/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us