Individual provider Active NPI

William C Blustein, M.D.

  • Internal Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1427197656
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
9301 Golf Rd
Suite 302
Des Plaines, IL 60016-1667
Phone
(847) 296-8151
Fax
(847) 296-3915
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

9301 Golf Rd
Suite 302
Des Plaines, IL 60016-1667

Mailing address

9301 Golf Rd
Suite 302
Des Plaines, IL 60016-1667
Phone (847) 296-8151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Ridge Medical Associates Current Accepting new patients
Endeavor Health Medical Group Internal Medicine Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients

Locations

9301 Golf Rd
Ste 302
Des Plaines, IL 60016
Phone (708) 296-8151

9301 Golf Rd
Des Plaines, IL 60016
Phone (847) 296-8151

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427197656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 GOLF RD",
            "address_2": "SUITE 302",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161667",
            "telephone_number": "847-296-8151",
            "fax_number": "847-296-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 GOLF RD",
            "address_2": "SUITE 302",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161667",
            "telephone_number": "847-296-8151",
            "fax_number": "847-296-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUSTEIN",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.