Individual provider · Type 1 NPI
Blake Recupido
Student in an Organized Health Care Education/Training Program · Matteson, IL
NPI number
1164372736
Active
Practice location
21403 S Jean Ave
Matteson, IL 60443-2425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Matteson
About NPI 1164372736
Blake Recupido's National Provider Identifier is 1164372736, issued on Feb 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Matteson, IL. The record was last updated on Feb 2, 2026.