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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235959511

Tiffany Blacklidge is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

4600 N Ravenswood Ave
Chicago, IL 60640-4510
Phone: (773) 561-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 836 W Wellington Ave, Chicago, IL 60657-5147 — (773) 296-8248

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1235959511
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 11, 2024
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address4600 N Ravenswood Ave, Chicago, IL 60640-4510

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