Anna Maria Blazevic, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2340 S Highland Ave
Suite 300
Lombard, IL 60148-5371

Phone

(630) 261-1210

Fax

(630) 261-1211

NPI assigned

Nov 4, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Anna Blazevic Cargill Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9265/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Clinical Services PC

  • Psychiatry Physician
  • Lombard, IL
  • NPI 1942484522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194134400000",
    "number": "1407036742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 W CERMAK RD",
            "address_2": "FIRST FLOOR FRONT",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461029",
            "telephone_number": "773-339-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE",
            "address_2": "SUITE 300",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485371",
            "telephone_number": "630-261-1210",
            "fax_number": "630-261-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZEVIC",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-04",
        "last_updated": "2007-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "CARGILL",
            "middle_name": "BLAZEVIC",
            "credential": "MS, OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brett Blacher
• Jennifer Blackwell
• Michele Ann Blahnik
• Meredith Ellen Blair, MS SLP CFY
• Christopher Blatti, DPT
• Samantha Blevins, PSYD
• Amy Leigh Blumstein, M.S., CCC-SLP
• Jessica Boarini
• Marquita Body
• Dawn Marie Boettger Mudd

• Occupational Therapist in Lombard, IL
• Providers in Lombard, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.