Individual provider · Type 1 NPI

Shakeya Blackman

Developmental Therapist · Westmont, IL

NPI number 1548104201 Active

Practice location

4101 Liberty Blvd Apt 1
Westmont, IL 60559-1348

Mailing address

4555 N Sheridan Rd
Chicago, IL 60640-5698

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1548104201

Shakeya Blackman's National Provider Identifier is 1548104201, issued on Apr 15, 2026. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Westmont, IL. The record was last updated on Apr 15, 2026.