Individual provider · Type 1 NPI

Tracee A. Blackburn, PA-C

Dermatology Physician · Chicago, IL

NPI number 1396776498 Active

Practice location

1460 North Halsted Street, Suite 505
Chicago, IL 60642

Fax (312) 266-6481

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X085-002507 (IL)
Pediatric Adolescent Medicine Physician 2080A0000X085-002507 (IL)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1396776498

Tracee A. Blackburn, PA-C's National Provider Identifier is 1396776498, issued on Jul 6, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Chicago, IL. The record was last updated on Dec 22, 2016.