DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ANGELA HOLT BLACKBURN APRN, CNP

MEDICARE: ANGELA HOLT BLACKBURN APRN, CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner209034971IL
2363L00000XNurse Practitioner145108NC
3363LF0000XFamily Nurse Practitioner145108NC

General Provider Information

NPI Number : 1780646406
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA HOLT BLACKBURN APRN, CNP
Provider Business Mailing Address
First Line : 12251 S 80TH AVE
Second Line :
City : PALOS HEIGHTS
State : IL
Zip : 60463-1290
Country : US
Telephone Number : 708-923-4000
Fax Number : 708-226-2390
Provider Business Practice Location Address
First Line : 12251 S 80TH AVE
Second Line :
City : PALOS HEIGHTS
State : IL
Zip : 60463-1290
Country : US
Telephone Number : 708-923-4000
Fax Number : 708-226-2390
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 06/02/2026

Similar Medicare Providers

1336425560 — DANIEL L CARDWELL PA-C
Practice Location Address:
12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
60463-1290
Practice Phone: 708-923-4200
Practice Fax: 708-923-4201
1427057058 — KHALED K TOUMEH
Practice Location Address:
12251 S 80TH AVE
PALOS HEIGHTS, IL
60463-1290
Practice Phone: 708-923-4000
Practice Fax:
1013918598 — THOMAS F. GUTCHEWSKY APN, CNP
Practice Location Address:
12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
60463-1290
Practice Phone: 708-923-4200
Practice Fax: 708-923-4201
1013900851 — DR. MAITRAYEE SUNDARESAN VADALI MD
Practice Location Address:
12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL
60463-1290
Practice Phone: 708-923-4200
Practice Fax: 708-923-4201
1902892128 — ANGELA MARTIN BANKS APRN, CRNA
Practice Location Address:
12251 S 80TH AVE
PALOS HEIGHTS, IL
60463-1290
Practice Phone: 708-923-3936
Practice Fax: 708-923-8848
1871566893 — MARY CURRAN CRNA
Practice Location Address:
12251 S 80TH AVE
PALOS HEIGHTS, IL
60463-1290
Practice Phone: 708-923-4000
Practice Fax: 708-923-8848

Directions to “ ANGELA HOLT BLACKBURN APRN, CNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.