MEDICARE: ROBERT D BLEZA MD, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1366770984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT D BLEZA MD, LLC

Provider Business Mailing Address
First Line	:	PO BOX 728
Second Line	:
City	:	SCHERERVILLE
State	:	IN
Zip	:	46375-0728
Country	:	US
Telephone Number	:	219-663-8110
Fax Number	:	219-663-8115

Provider Business Practice Location Address
First Line	:	115 E 113TH AVE
Second Line	:
City	:	CROWN POINT
State	:	IN
Zip	:	46307-9706
Country	:	US
Telephone Number	:	219-663-8110
Fax Number	:	219-663-8115

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT BLEZA
Credential	:	MD
Telephone Number	:	219-663-8110

Provider Enumeration Date	:	11/19/2009
Last Update Date	:	05/28/2011

Similar Medicare Providers

1780844910 — CROWN MEDICARE INC.
Practice Location Address:

2243 S 24TH AVE
BROADVIEW, IL
60155-3820

Practice Phone: 708-338-3305
Practice Fax: 708-338-3306

1144775867 — BACK & JOINT REHAB CENTER LLC
Practice Location Address:

127 E 113TH AVE
CROWN POINT, IN
46307-9706

Practice Phone: 219-331-6041
Practice Fax:

1831601566 — ARCH COMPLETE FAMILY DENTAL GROUP, INC.
Practice Location Address:

123 E 113TH AVE
CROWN POINT, IN
46307-9706

Practice Phone: 219-310-8807
Practice Fax: 219-779-9437

1245230143 — DR. MICHAEL W POTTER M.D.
Practice Location Address:

100 DEAN DR
CENTRAL POINT, OR
97502-9706

Practice Phone: 541-944-1490
Practice Fax: 541-664-8291

1306796164 — ELZORA GELISA LOTTIE
Practice Location Address:

205 W FRANCISCAN DR
CROWN POINT, IN
46307-4802

Practice Phone: 888-419-2576
Practice Fax:

1366392706 — DIAMOND LAVENDER RBT
Practice Location Address:

5521 W LINCOLN HWY
CROWN POINT, IN
46307-1097

Practice Phone: 219-359-3272
Practice Fax:

Directions to “ROBERT D BLEZA MD, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.