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Search › Illinois › 363LF0000X

Wyvon Blackwell, MSN, APRN,FNP-C

NPI 1821398397 · on the registry since 2010 · sole proprietor

Practice

Address
31 W 155th St
Harvey, IL 60426
Phone
(708) 596-5177
Fax
(708) 596-5518
Organisation at this address
Medcentrix Inc
Medcentrix Inc
J And M Pharmacy Inc
Grand Prairie Services
Family Christian Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Additional practice sites

  • 326 W 64th St, Chicago, IL
  • 326 W 64th St, Chicago, IL

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
171M00000X
363LF0000X
363LF0000X
Licence states on file
IN, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-11-05

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