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Contact Information

BRANDON S BLACKWOOD, FNP-C
1000 N WESTMORELAND RD
LAKE FOREST, IL60045-1658
 Phone: 847-234-5600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Emergency

364SE0003X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for BRANDON S BLACKWOOD · (Male)

NPI # 1144867441
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 12/05/2019
Last updated 04/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209020242
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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