Search › Illinois › 103TC0700X
Tillary Blackman, PSY.D
NPI 1356866750 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1700 W Irving Park Rd Ste 305b
Chicago, IL 60613 - Phone
- (312) 585-6965
- Fax
- (877) 655-9891
- Organisation at this address
- Pathos, Inc.
Kelin Hall, Lcsw, Pllc
Matthew Vail Lcsw Pllc
Redefine Psychotherapy Llc
Emerge Psychology Group LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 62
Additional practice sites
- 3319 N Seeley Ave, Chicago, IL
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-09
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