BLAKE RECUPIDO
NPI 1164372736
Student in an Organized Health Care Education/Training Program in Matteson, IL

Active since February 02, 2026
21403 S JEAN AVE, MATTESON, IL 60443(630) 430-4684 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Blake Recupido NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE RECUPIDO (NPI 1164372736) is an individual student in an organized health care education/training program in Matteson, Illinois and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1164372736
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE RECUPIDO
Location Address21403 S JEAN AVEMatteson, IL 60443-2425
Mailing Address21403 S Jean AveMatteson, IL 60443-2425
Sole ProprietorNo
Enumeration DateFebruary 2, 2026
NPPES CertifiedFebruary 2, 2026
NPI 1164372736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
21403 S JEAN AVE, Matteson, IL 60443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Recupido's NPI number?

The NPI number for Blake Recupido is 1164372736. It was assigned to this individual provider in the NPPES registry on February 2, 2026.

Where is Blake Recupido located?

Blake Recupido practices at 21403 S Jean Ave, Matteson, IL 60443. The listed phone number is (630) 430-4684.

What is Blake Recupido's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Blake Recupido was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.