MRS. TRACEE BLACKBURN, PA-C

Dermatology

Active Individual
NPI: 1396776498

Practice Address

1460 NORTH HALSTED STREET
SUITE 505
Chicago, IL 60642

Phone: (312) 266-6462

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes 085-002507 (IL)
Pediatrics - Adolescent Medicine 2080A0000X No 085-002507 (IL)

Frequently Asked Questions

NPI 1396776498 is the National Provider Identifier for MRS. TRACEE BLACKBURN, PA-C, a Dermatology provider located in Chicago, IL. This NPI was enumerated on July 6, 2006.
MRS. TRACEE BLACKBURN, PA-C practices at 1460 NORTH HALSTED STREET, SUITE 505, Chicago, IL 60642.

Quick Facts

NPI
1396776498
Type
Individual
Enumerated
Jul 6, 2006
Last Updated
Dec 22, 2016

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