Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1750483285 Deactivated / Inactive NPI Male Practitioner

Dr. Gene Joseph Blake , DDS

Dentist • Schaumburg, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gene Blake has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 04, 2006
NPI Deactivation Date August 26, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Gene Blake, DDS was a registered Dentist practicing in Schaumburg, IL. Throughout an active medical career spanning 15 years, Dr. Blake provided care at the practice location at 1375 E SCHAUMBURG RD until profile deactivation on 2021-08-26.

Practice Location & Contact Primary Location

Practice Address

1375 E Schaumburg Rd
Suite 350

Schaumburg, IL 601945166

Telephone 8475848870
Fax 8475848818
Associated Practice Facility / Clinic
🏢 Midwest Immediate Care Facility NPI 1114962099

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Schaumburg, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
65 Specialists

Practicing in Schaumburg, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Thomas Brammeier , DDS

Dentist - General Practice

NPI 1063636793

Doctor of Dental Surgery

NPI 1124069513

Doctor of Medicine (M.D.)

Dr. Ajay Jain , MD

Internal Medicine

NPI 1275610917

Doctor of Medicine (M.D.)

Dr. Ala Klimuk , MD

Family Medicine

NPI 1366637480

Doctor of Medicine (M.D.)

Dr. Blaise Wolfrum , MD

Psychiatry & Neurology - Psychiatry

NPI 1437231321

Doctor of Medicine (M.D.)

Dr. Raymond Gouttama , MD

Psychiatry & Neurology - Psychiatry

NPI 1558429209

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated August 26, 2021

Record deactivated on August 26, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1375 E SCHAUMBURG RD, SUITE 350, SCHAUMBURG, IL 601945166 (Tel: 8475848870)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1375 E SCHAUMBURG RD, SUITE 350, SCHAUMBURG, IL 601945166 (Tel: 8475848870)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GENE BLAKE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration September 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Gene Blake. Be the first to share your experience!

Sign in to leave a review for Dr. Gene Blake

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1750483285
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2006
Last Update: July 08, 2007
Deactivation Date: August 26, 2021

Mailing Address

1375 E Schaumburg Rd, Suite 350

Schaumburg, IL 601945166

Phone: 8475848870

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.