Search › Illinois › Physician Assistant
Blake Childress, PA-C
NPI 1750178190 · on the registry since 2025 · sole proprietor
Practice
- Address
- 6140 N Broadway St
Chicago, IL 60660 - Phone
- (773) 564-9206
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Medical Physician Assistant
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-12
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