IndividualActive
Richard Blanks, M.D.
NPI 1669521480 · Forensic Psychiatry Physician · Champaign, IL
Provider details
- NPI number
- 1669521480
- Entity type
- Individual
- Primary specialty
- Forensic Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 223476 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1802 S Mattis Ave
Champaign, IL 61821-5923
Phone: (217) 383-1850
Fax: (217) 383-3439
Approximate (ZIP-level) locationGet directions
Mailing address
611 W Park St
Urbana, IL 61801
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2021-01-20
- Certified
- 2021-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.