Blackburn, Joanna S

Blackburn, Joanna S is an individual health care provider with primary practice located at 225 E Chicago Ave Box 51, Chicago IL 60611-2991. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Blackburn, Joanna S can be contacted via phone (312) 227-3550.

Contact Information

Primary practice address
225 E Chicago Ave Box 51 Chicago IL 60611-2991
Phone: (312) 227-3550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 261126 New York
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 261126 New York

Profile Details

NPI number 1992904197
LBN Legal business name Blackburn, Joanna S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2007
Last updated May 8th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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