Provider profile

Individual

Blake Elliot Cohen

Radiology in Peoria, IL. NPI 1558650101, listed in the CMS NPI Registry since 04/05/2011. Bills Medicare.

NPI 1558650101Specialty RadiologyEnumerated 04/05/2011
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Registry and Medicare facts

Practice location
530 Ne Glen Oak Ave, Peoria, IL 61637
CMS NPI Registry
Phone
(309) 655-2000
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
04/05/2011
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
4,319 Part B
CMS Medicare 2024

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