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

Mrs. Patrice R Blackburn, MHS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1457860009

Mrs. Patrice R Blackburn, MHS, CCC-SLP is a Speech-Language Pathologist in North Riverside, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

8940 W 24th St
North Riverside, IL 60546-1158
Phone: (708) 447-8030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.012923 (IL)

Record details

NPI number1457860009
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHS , CCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 27, 2017
Last updated in NPPESJuly 21, 2022

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