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Brian Blackmon, DO
NPI 1033235882 · on the registry since 2007
Practice
- Address
- 3701 Doty Rd
Woodstock, IL 60098 - Phone
- (815) 338-6600
- Fax
- (815) 206-5376
- Organisation at this address
- Memorial Medical Center
Memorial Medical Center
Town Square Anesthesia Llc
Northern Illinois Medical Center
Northern Illinois Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 47
Additional practice sites
- 2301 Erwin Rd, Durham, NC
- 4201 W Medical Center Dr, Mchenry, IL
- 10400 Haligus Rd, Huntley, IL
- 10350 Haligus Rd Ste 200, Huntley, IL
Registry record
- Primary taxonomy
- Psychiatry
2084P0800X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois