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

Dr. Terry Cornelius Blanks

Individual provider Clinical Psychologist · NPI 1780063941

Dr. Terry Cornelius Blanks is a Clinical Psychologist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015

Practice location Address checks out

9548 S Forest Ave
Chicago, IL 60628-1406
Phone: (773) 663-9676
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 178001564 (IL)

Record details

NPI number1780063941
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 21, 2015
Last updated in NPPESMay 21, 2015

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