Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUSTIN DAVID BLYTHE JR.
Active Sole ProprietorNeuroscience Nurse · PARK RIDGE, IL
Registration Details
- NPI Number
- 1669293890
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2024 (1.5098166641468 yrs)
- Last Updated
- Oct 21, 2025
- Licenses
-
041548967 (IL)209-032573 (IL)209-032573 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1875 DEMPSTER ST STE 625PARK RIDGE, IL, 600681137Browse IL providers · Browse ZIP 60068
- Phone
- 8477234088
- Fax
- 8476278700
- Primary Specialty
-
Neuroscience Nurse
163WN0800X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
Other Neuroscience Nurse Providers in PARK RIDGE, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. ROYCE SARAH PEPPA | CNS | 1902193329 |
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.