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

Individual provider Clinical Psychologist · NPI 1356866750

Tillary Blaine Blackman, PSYD is a Clinical Psychologist in Chicago, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1700 W Irving Park Rd Ste 305B
Chicago, IL 60613-2462
Phone: (312) 585-6965
Fax: (877) 655-9891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3319 N Seeley Ave, Chicago, IL 60618-6221 — (872) 302-7123

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071010501 (IL)

Record details

NPI number1356866750
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedAugust 7, 2017
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023

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