Individual
CHERYL ANN BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
339 W BARRY AVE, 6B, CHICAGO, IL 60657-5653
(773) 296-4091
Mailing address
339 W BARRY AVE, 6B, CHICAGO, IL 60657-5653
(773) 296-4091
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28171006A
IN
367500000X
Certified Registered Nurse Anesthetist
ARNP9224474
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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