IndividualActive
Joanna Blackburn, MD
NPI 1992904197 · Neurology with Special Qualifications in Child Neurology Physician · Chicago, IL
Provider details
- NPI number
- 1992904197
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 261126 (NY)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 036130596 (IL)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
225 E Chicago Ave
Box 51
Chicago, IL 60611-2991
Phone: (312) 227-3550
Approximate (ZIP-level) locationGet directions
Mailing address
225 E Chicago Ave
Chicago, IL 60611-2991
Registry dates
- Enumerated
- 2007-07-17
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.