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

Individual provider Clinical Psychologist · NPI 1801977269

Dr. Michael J Blacconiere, PHD is a Clinical Psychologist in Hines, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Partly verified

Some contact details are missing from the federal record.

Hines VA Hospital 5th Ave & Roosevelt Rd
Hines, IL 60141
Phone: (708) 202-2656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 71004033 (IL)

Record details

NPI number1801977269
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1339 Margret St, Des Plaines, IL 60018-1522

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