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TIFFANY BLACKLIDGE
NPI 1235959511
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since October 11, 2024
4600 N RAVENSWOOD AVE, CHICAGO, IL 60640(773) 561-7500 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2026, Oct 11, 2024 (2 updates tracked since 2024).

About Tiffany Blacklidge NPPES

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

TIFFANY BLACKLIDGE (NPI 1235959511) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since October 2024. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1235959511
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTIFFANY BLACKLIDGE
Location Address4600 N RAVENSWOOD AVEChicago, IL 60640-4510
Mailing Address4600 N Ravenswood AveChicago, IL 60640-4510 · (773) 561-7500
Phone(773) 561-7500
Sole ProprietorNo
Enumeration DateOctober 11, 2024
Last NPPES UpdateApril 1, 20262 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1235959511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
4600 N RAVENSWOOD AVE, Chicago, IL 60640
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Secondary Practice Location 1

Location 1836 W Wellington AveChicago, IL 60657-5147 · Phone (773) 296-8248

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KERI LEAH FAIR M.D., PH.D.
Family Medicine
4600 N RAVENSWOOD AVE, 2ND FLOOR
CHICAGO, IL 60640
Cook County (773) 561-7500
DR. DAVID EUGENE KLEIN DO
Psychiatry & Neurology (Neurology)
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 561-7500
MEAGAN ROSE MCCORMICK DO
Family Medicine
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 561-7500
POOJA KANTHAWAR MD
Family Medicine
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 561-7500
MARIELA CANO M.D.
Family Medicine
4600 N RAVENSWOOD AVE, 2ND FLR
CHICAGO, IL 60640
Cook County (773) 561-7500
HEMISHA SANGANI DO
Family Medicine
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 561-7500
FARANAK NAJIBI M.D
Psychiatry & Neurology (Neurology)
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 561-7500
KIMBERLY ROWGHANI DO
Family Medicine
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 561-7500

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 Tiffany Blacklidge's NPI number?

The NPI number for Tiffany Blacklidge is 1235959511. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Where is Tiffany Blacklidge located?

Tiffany Blacklidge practices at 4600 N Ravenswood Ave, Chicago, IL 60640. The listed phone number is (773) 561-7500.

What is Tiffany Blacklidge'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 Tiffany Blacklidge was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.