Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annessa R Blackmun, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1538321047

Annessa R Blackmun, DPM is a Foot & Ankle Surgery Podiatrist in Chicago, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2008.

Licensed in
IL, MO
In the registry since
2008
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

4350 N Broadway St Fl 2
Chicago, IL 60613-1781
Phone: (773) 770-0140
Fax: (773) 770-0141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 2010035799 (MO)
Podiatrist Taxonomy 213E00000X · Licence 016.005464 (IL)

Record details

NPI number1538321047
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 26, 2008
Last updated in NPPESMarch 29, 2017

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