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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRANDON STUART BLACKWOOD, FNP-C

Active

Nurse Practitioner · LAKE FOREST, IL

Registration Details

NPI Number
1144867441
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2019 (6.3824341649563 yrs)
Last Updated
Apr 15, 2020
Licenses
209020242 (IL)
209020242 (IL)

Practice Information

Address
1000 N WESTMORELAND RD
LAKE FOREST, IL, 600451658
Browse IL providers · Browse ZIP 60045
Phone
8472345600
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in LAKE FOREST, IL

Name Credential NPI
JEANINE HARSHBARGER FNP 1871583179
NANCY M DOHERTY NP 1306815006
JENNIFER NICOLE JACKSON ACNP 1629285457
MELISSA A KREITER RN, APRN 1992013791
SHERYL GIESE APRN, CNP 1801165436
KELLY KATHLEEN FORSTER IVY CNM, WHNP-BC 1649514316
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.