Lookup NPI Numbers from the NPI Registry
NPI Profile for JUSTIN D BLYTHE JR in PARK RIDGE, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neuroscience |
163WN0800X | |||
Family |
363LF0000X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner |
| NPI Number | 1669293890 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/21/2024 | |
| Last updated | 10/21/2025 - About 8 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JUSTIN D BLYTHE JR
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JUSTIN D BLYTHE JR