Jennifer M. Blair, M.D., L.L.C.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036117811 Issued in IL

Legal business name

JENNIFER M. BLAIR, M.D., L.L.C.

Practice address

2000 Ogden Ave
Aurora, IL 60504-7222

Phone

(847) 697-8868

NPI assigned

Sep 10, 2007

Last updated

Nov 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer M Blair, M.D.

Title

Registered Agent

Phone

(312) 282-5616

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1427243872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 MANSFIELD ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113539",
            "telephone_number": "312-282-5616",
            "fax_number": "312-282-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047222",
            "telephone_number": "847-697-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M. BLAIR, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "312-282-5616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036117811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036117811",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda L Jefferson-Byrd, MD
• Demetrius Jeffries
• Kayla Jeffries
• Kimberly Anne Jenckes, ATC
• Rachel J Jenkins, LCSW
• Jennings Terrace
• Kyle D Jennings, M.A.
• Sebastian Jennison
• Maria del Carmen Jimenez Jimenez
• Shope Jimoh

• Emergency Medicine Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.