Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tracee A Blackburn, PA-C

Individual provider Dermatology Physician · NPI 1396776498

Mrs. Tracee A Blackburn, PA-C is a Dermatology Physician in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1460 N Halsted St Ste 505
Chicago, IL 60642
Phone: (312) 266-6462
Fax: (312) 266-6481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 085-002507 (IL)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence 085-002507 (IL)

Record details

NPI number1396776498
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 6, 2006
Last updated in NPPESDecember 22, 2016

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