MRS. TRACEE A BLACKBURN PA-C
NPI 1396776498
Dermatology in Chicago, IL

Active since July 06, 2006
1460 NORTH HALSTED STREET, SUITE 505, CHICAGO, IL 60642(312) 266-6462(312) 266-6481 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tracee A Blackburn Pa-c NPPES

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

MRS. TRACEE A BLACKBURN PA-C (NPI 1396776498) is an individual dermatology provider in Chicago, Illinois, licensed in Illinois (085-002507) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1396776498
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMRS. TRACEE A BLACKBURNCredential: PA-C
Location Address1460 NORTH HALSTED STREET, SUITE 505Chicago, IL 60642
Mailing Address1460 North Halsted Street, Suite 505Chicago, IL 60642 · (312) 266-6462 · Fax (312) 266-6481
Fax(312) 266-6481
Sole ProprietorYes
Enumeration DateJuly 6, 2006
Last NPPES UpdateDecember 22, 2016
NPI 1396776498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 085-002507
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 085-002507 (IL)
1460 NORTH HALSTED STREET, Chicago, IL 60642

Other Names 1

Former Name (1)Miss Tracee Angela Douse-dean

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 Tracee Blackburn's NPI number?

The NPI number for Tracee Blackburn is 1396776498. It was assigned to this individual provider in the NPPES registry on July 6, 2006. The provider is also known as Miss Tracee Angela Douse-Dean.

Where is Tracee Blackburn located?

Tracee Blackburn practices at 1460 North Halsted Street Suite 505, Chicago, IL 60642. The listed phone number is (312) 266-6462.

What is Tracee Blackburn's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Tracee Blackburn was last updated on December 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.