Roneen Blank M.D. S.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

RONEEN BLANK M.D. S.C.

Practice address

155 N Michigan Ave
630
Chicago, IL 60601-7511

Phone

(773) 404-2277

NPI assigned

Apr 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Roneen Blank, M.D.NPI 1033253422

Title

President

Phone

(773) 404-2277

Specialties & licenses 1

Addresses

Other names 1

• Roneen Blank M.D. Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roneen Blank, M.D.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1033253422
  NPD (past) Authorized official

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1447494372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE",
            "address_2": "630",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017511",
            "telephone_number": "773-404-2277",
            "fax_number": "312-616-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE",
            "address_2": "630",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017511",
            "telephone_number": "773-404-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONEEN BLANK M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "RONEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-404-2277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roneen Blank M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jesus Leonardo Rondon Tapia, MD
• Carla R Rone, APRN
• Daniel Joseph Rone, MSW, LCSW
• Jennifer Rone, LCSW
• Lisa A Rone, MD
• Carol Colleen Roney, LCSW
• Nicole Rong
• Dinesh Aravind Rongali
• Ronnie Mandal DO, SC
• Rachel Rood

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.