Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Blake Elliot Cohen, MD

Individual provider Diagnostic Radiology Physician · NPI 1558650101

Dr. Blake Elliot Cohen, MD is a Diagnostic Radiology in Peoria, Illinois. Graduated from Southern Illinois University School of Medicine in 2011, 15 years ago. Practices with Central Illinois Radiological Associates Ltd, a 204-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Minnesota and Missouri.

Years since qualifying
15
Trained at
Southern Illinois University School of Medicine
Licensed in
IL, MN, MO
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036-142632 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2011018942 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 60184 (MN)

Record details

NPI number1558650101
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2011
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024
Mailing address111 Oakwood Rd, East Peoria, IL 61611-1853

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Central Illinois Radiological Associates Ltd — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations31 on file with Medicare

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