Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TRACEE A BLACKBURN, PA-C
Active Sole ProprietorMRS. TRACEE A BLACKBURN, PA-C is a Dermatology healthcare provider located in CHICAGO, Illinois. NPI 1396776498 is currently active in the NPPES registry. Verify at CMS.
Dermatology · CHICAGO, IL
Registration Details
- NPI Number
- 1396776498
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2006 (20.131340483995 yrs)
- Last Updated
- Dec 22, 2016
- Licenses
-
085-002507 (IL)085-002507 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1460 NORTH HALSTED STREETSUITE 505CHICAGO, IL, 60642Browse IL providers · Browse ZIP 60642
- Phone
- 3122666462
- Fax
- 3122666481
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Adolescent Medicine (Pediatrics)
Other Dermatology Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| BRIAN COOK | M.D. | 1588669683 |
| DR. DANILO V. DELCAMPO | M.D. | 1801893052 |
| DR. KASTYTIS ALEXANDER JUCAS | M.D. | 1609876952 |
| DR. STEPHEN L CARTER | MD | 1013909134 |
| DR. QUENBY LEA ERICKSON | D.O | 1558356410 |
| MR. NEILL T PETERS | M.D. | 1215912795 |
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.