Individual provider · Type 1 NPI

Tiffany Blacklidge

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1235959511 Active

Practice location

4600 N Ravenswood Ave
Chicago, IL 60640-4510

Call (773) 561-7500 Map

Other practice locations

  • 836 W Wellington Ave, Chicago, IL 60657-5147 · (773) 296-8248

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1235959511

Tiffany Blacklidge's National Provider Identifier is 1235959511, issued on Oct 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Apr 1, 2026.