Robert Blackwell
NPI 1205964137 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3631 Forest Ave
Unit D
Brookfield, IL 60513 - Phone
- (217) 621-3232
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-10
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