Mr. Douglas Alan Blazer, PA
Mr. Douglas Alan Blazer, PA is a Physician Assistant in Rockford, Illinois. Qualified in 2011, 15 years ago. Practices with Physicians Immediate Care North Chicago LLC, a 261-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 15
- Licensed in
- IL
- In the registry since
- 2011
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
3475 S Alpine RdRockford, IL 61109-2604
Phone: (815) 874-8000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 085004130 (IL) |
|---|
Record details
| NPI number | 1104101823 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | October 13, 2011 |
| Last updated in NPPES | October 13, 2011 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Physicians Immediate Care North Chicago Llc — 261 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Rockford
-
Mrs. Melissa Shea Hartzell, PA-C
1200 W State St, Rockford, IL 61102-2112 · (815) 490-1600
-
Kelsey Michelle Jebb, PA-C
1200 W State St, Rockford, IL 61102-2112 · (815) 490-1600
-
Tammy M Kucia, PAC
2300 N Rockton Ave, Rockford, IL 61103-3619 · (815) 971-2000
-
Erin Ashleigh Langguth
1200 W State St, Rockford, IL 61102-2112 · (815) 490-1600