Lindy July Blackwell

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

211 E Chicago Ave
Suite 1200
Chicago, IL 60611-2637

Phone

(312) 943-0282

Fax

(312) 943-0284

NPI assigned

Aug 15, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chicago Women'S Health Group at Northwestern

  • Specialist
  • Chicago, IL
  • NPI 1053377473
  NPD (past)
• Chicago Womens Health Group

  • Health Service Clinic/Center
  • Chicago, IL
  • NPI 1457604910
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1942456470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E CHICAGO AVE",
            "address_2": "SUITE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112637",
            "telephone_number": "312-943-0282",
            "fax_number": "312-943-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E CHICAGO AVE",
            "address_2": "SUITE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112637",
            "telephone_number": "312-943-0282",
            "fax_number": "312-943-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "LINDY",
        "middle_name": "JULY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Blackmon, MS
• Novella Blackmon, LPC
• Annessa R Blackmun, DPM
• Aisha Blackwell, LSW
• Cheryl Ann Blackwell, C.R.N.A.
• Mylaun Elaine Blackwell, MD
• Brian P Blackwood, M.D.
• Brittny Blackwood, LCSW
• Natalie Blackwood
• Constance N Blade, MD

• Medical Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.