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Search › Illinois › Dermatology Physician

Tracee Blackburn, PA-C

NPI 1396776498 · on the registry since 2006 · sole proprietor

Practice

Address
1460 North Halsted Street
Suite 505
Chicago, IL 60642
Phone
(312) 266-6462
Fax
(312) 266-6481
Organisation at this address
Real Drugs Inc
Real Drugs Inc
Pac Specialists, Llc
Halsted Pharmacy Inc
Avellino Group Limited
Inferred from a shared address, not stated in the registry.
Clinicians at this address
92

Registry record

Primary taxonomy
Dermatology Physician
207N00000X
Also registered as
Pediatric Adolescent Medicine Physician
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-12-22

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