Individual provider · Type 1 NPI

Justin David Blythe Jr.

Neuroscience Registered Nurse · Park Ridge, IL

NPI number 1669293890 Active

Practice location

1875 Dempster St Ste 625
Park Ridge, IL 60068-1137

Fax (847) 627-8700

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

  • 801 S Milwaukee Ave, Libertyville, IL 60048-3204 · (847) 990-5666

Specialties and licenses

TaxonomyCodeLicense
Neuroscience Registered Nurse Primary 163WN0800X041548967 (IL)
Family Nurse Practitioner 363LF0000X209-032573 (IL)
Nurse Practitioner 363L00000X209-032573 (IL)

Neuroscience Registered Nurse: Definition to come...

28 other providers at this address

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About NPI 1669293890

Justin David Blythe Jr.'s National Provider Identifier is 1669293890, issued on Oct 21, 2024. The primary taxonomy on file is Neuroscience Registered Nurse (163WN0800X), and the practice location is in Park Ridge, IL. The record was last updated on Oct 21, 2025.