Search › Illinois › 222Q00000X
Susan Blackman
NPI 1518181320 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1220 E 2nd Ave
Monmouth, IL 61462 - Phone
- (309) 734-7902
- Fax
- (309) 734-7114
- Organisation at this address
- Warren Achievement Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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