SearchIllinois367500000X

Bradley Blakey, CRNA

NPI 1285621151 · on the registry since 2005

Practice

Address
201 S 14th St
Herrin, IL 62948
Phone
(618) 942-2171
Fax
(618) 351-4919
Organisation at this address
Herrin Hospital Pharmacy
Southern Illinois Healthcare
Southern Illinois Healthcare
River2 Emergency Physicians Llp
Southern Illinois Hospital Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
92

Additional practice sites

  • 2 S Hospital Dr, Murphysboro, IL
  • 405 W Jackson St, Carbondale, IL

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois