Dr JONATHAN EDWARD BLAKE is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1996 from The University Of Health Sciences, College Of Osteo Medicine.
JERSEY COMMUNITY HOSPITAL
400 MAPLE SUMMIT RD
JERSEYVILLE
IL
620522028
Tel: 6184986402
| Npi | 1598739708 |
| Pac Id | 6709948102 |
| Professional Enrollment Id | I20130911000436 |
| Last Name | BLAKE |
| First Name | JONATHAN |
| Middle Name | EDWARD |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialty 1 | |
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| Organization Legal Name | JERSEY COMMUNITY HOSPITAL |
| Group Practice Pac Id | 4587650445 |
| Number Of Group Practice Members | 31 |
| Line 1 Street Address | 400 MAPLE SUMMIT RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | JERSEYVILLE |
| State | IL |
| Zip Code | 620522028 |
| Phone Number | 6184986402 |
| Hospital Affiliation Ccn 1 | 140059 |
| Hospital Affiliation Lbn 1 | JERSEY COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 141300 |
| Hospital Affiliation Lbn 2 | THOMAS H BOYD MEMORIAL HOSPITAL |
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| Hospital Affiliation Lbn 3 | |
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| Professional Accepts Medicare Assignment | Y |
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