IndividualActive
Angela Blackburn, APRN, CNP
NPI 1780646406 · Nurse Practitioner · Palos Heights, IL
Provider details
- NPI number
- 1780646406
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209034971 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12251 S 80th Ave
Palos Heights, IL 60463-1290
Phone: (708) 923-4000
Fax: (708) 226-2390
Approximate (ZIP-level) locationGet directions
Mailing address
12251 S 80th Ave
Palos Heights, IL 60463-1290
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.