BLAIR MEDICAL LLC
NPI 1427651587
Nurse Practitioner - Family in Aviston, IL

Active since November 19, 2020
13745 MARY LN, AVISTON, IL 62216(618) 567-9821(618) 939-9836 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2021, Dec 3, 2020, Nov 19, 2020 (3 updates tracked since 2020).

About Blair Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAIR MEDICAL LLC (NPI 1427651587) is a healthcare organization registered as a family in Aviston, Illinois and active in the NPI registry since November 2020. The organization lists Blair E Bone, Owner, Authorized, as its authorized official.

NPPES Registry Identity

NPI1427651587
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBLAIR MEDICAL LLC
Location Address13745 MARY LNAviston, IL 62216-4732
Mailing AddressPo Box 306Columbia, IL 62236-0306 · (618) 567-9821 · Fax (618) 939-9836
Fax(618) 939-9836
Organization SubpartNo
Authorized OfficialBlair E BoneOwner, Authorized · (618) 567-9821
Enumeration DateNovember 19, 2020
Last NPPES UpdateSeptember 17, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2021
NPI 1427651587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
13745 MARY LN, Aviston, IL 62216

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
13745 MARY LN
AVISTON, IL 62216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blair Medical LLC's NPI number?

The NPI number for Blair Medical LLC is 1427651587. It was assigned to this organization in the NPPES registry on November 19, 2020.

Where is Blair Medical LLC located?

Blair Medical LLC is located at 13745 Mary Ln, Aviston, IL 62216. The listed phone number is (618) 567-9821.

What is Blair Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Blair Medical LLC was last updated on September 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.