Search › Illinois › 207L00000X
Justin Black, M.D
NPI 1740436781 · on the registry since 2008 · sole proprietor
Practice
- Address
- 5841 S Maryland Ave # Mc4028
Chicago, IL 60637 - Phone
- (773) 702-6700
- Clinicians at this address
- 80
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-11
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