Individual
NATALIE BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3718 N SOUTHPORT AVE APT 3S, CHICAGO, IL 60613-3581
(973) 897-5617
Mailing address
3718 N SOUTHPORT AVE APT 3S, CHICAGO, IL 60613-3581
(973) 897-5617
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209-029899
IL
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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