IndividualActive
Justin Blythe
NPI 1669293890 · Neuroscience Registered Nurse · Park Ridge, IL
Provider details
- NPI number
- 1669293890
- Entity type
- Individual
- Primary specialty
- Neuroscience Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 041548967 (IL)
Specialties & taxonomies
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1875 Dempster St Ste 625
Park Ridge, IL 60068-1137
Phone: (847) 723-4088
Fax: (847) 627-8700
Approximate (ZIP-level) locationGet directions
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Additional practice locations (1)
- 801 S Milwaukee AveLibertyville, IL 60048-3204Phone: (847) 990-5666
Registry dates
- Enumerated
- 2024-10-21
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.