Individual
LINDSAY J. BLAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2200 WABASH AVE, SPRINGFIELD, IL 62704-5352
(217) 960-8280
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006358
IL
363AM0700X
Medical Physician Assistant
085006358
IL
Other
Enumeration date
09/21/2017
Last updated
03/02/2026
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