Dr. Rodney A Blaney, D.M.D

Dentist in Chicago, IL. Individual provider (NPI-1).

NPI number1801009337

StatusActive

Last updated in NPPESApr 21, 2021

Details

NPI: 1801009337
Entity type: Individual (NPI-1)
Name: Dr. Rodney A Blaney
Credential: D.M.D
Sex: Male
Sole proprietor: Yes
Enumeration date: May 8, 2007
Certification date: Apr 21, 2021
Last updated: Apr 21, 2021

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - DENTIST
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
122300000X	Dentist	019-020325	IL	Yes
1223G0001X	Dentist, General Practice	019-020325	IL

Practice location

8544 S Stony Island Ave
Chicago, IL 60617-2248

Phone 773-221-0800 · Fax 773-221-0868

Mailing address

8544 S Stony Island Ave
Chicago, IL 60617-2248

Phone 773-221-0800 · Fax 773-221-0868

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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