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

Individual provider Developmental Therapist · NPI 1033764485

Juanita Blackmon, MS is a Developmental Therapist in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

5904 S Kedzie Ave Apt 303
Chicago, IL 60629-3216
Phone: (312) 342-9118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1033764485
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedAugust 2, 2019
Last updated in NPPESAugust 2, 2019

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