Individual provider · Type 1 NPI

Blake Childress, PA-C

Physician Assistant · Chicago, IL

NPI number 1750178190 Active

Practice location

6140 N Broadway St
Chicago, IL 60660-2538

Call (773) 564-9206 Map

Mailing address

10403 Parmer Cir
Fishers, IN 46038-5782

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000X085.011277 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1750178190

Blake Childress, PA-C's National Provider Identifier is 1750178190, issued on Apr 21, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 12, 2025.