Individual
SHAKEYA BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 LIBERTY BLVD APT 1, WESTMONT, IL 60559-1348
(630) 426-9386
Mailing address
4555 N SHERIDAN RD, CHICAGO, IL 60640-5698
(630) 426-9386
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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