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MR. JUSTIN DAVID BLYTHE JR.
NPI 1669293890
Registered Nurse - Neuroscience in Park Ridge, IL

Active since October 21, 2024PECOS EnrolledAccepts Medicare Assignment
1875 DEMPSTER ST STE 625, PARK RIDGE, IL 60068(847) 723-4088(847) 627-8700 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Justin David Blythe Jr. NPPES

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

MR. JUSTIN DAVID BLYTHE JR. (NPI 1669293890) is an individual neuroscience provider in Park Ridge, Illinois, licensed in Illinois (041548967) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, is affiliated with Advocate Lutheran General Hospital, and maintains a secondary practice location in Libertyville.

NPPES Registry Identity

NPI1669293890
Entity TypeIndividualMale
Primary Taxonomy163WN0800X
Provider Legal NameMR. JUSTIN DAVID BLYTHE JR.
Location Address1875 DEMPSTER ST STE 625Park Ridge, IL 60068-1137
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(847) 723-4088
Fax(847) 627-8700
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 21, 2024
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1669293890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · NeuroscienceNursing Service Providers
Taxonomy Code163WN0800X
License✔ Licensed in IL · 041548967
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209-032573 (IL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209-032573 (IL)
1875 DEMPSTER ST STE 625, Park Ridge, IL 60068
Open in Google Maps ↗

Secondary Practice Location 1

Location 1801 S Milwaukee AveLibertyville, IL 60048-3204 · Phone (847) 990-5666

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Justin David Blythe Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204331747
PECOS Enrollment IDI20250925000630
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

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.

MICHAEL REZAK MD, PHD
Psychiatry & Neurology (Neurology)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (847) 723-4088
UMAIR AFZAL MD
Psychiatry & Neurology (Neurology)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (847) 723-4088
DR. DANIELLE RENEE RICE M.D.
Psychiatry & Neurology (Neurology)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (847) 723-4088
MAHNOOR REHMAN MD
Psychiatry & Neurology (Neurology)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (847) 723-4088
DR. ANDREW CHARLES MACDOUGALL D.O.
Psychiatry & Neurology (Neurology)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (708) 712-1531
KATHERINE SCHWARTZ D.O.
Psychiatry & Neurology (Neurocritical Care)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (847) 723-4088
CATHERINE MELISSA CLARO NP-BC
Nurse Practitioner
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (847) 723-4088
DR. ANIBAL MOLINA LUGO MD
Psychiatry & Neurology (Neurology)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (847) 723-4088

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 Justin Blythe's NPI number?

The NPI number for Justin Blythe is 1669293890. It was assigned to this individual provider in the NPPES registry on October 21, 2024.

Where is Justin Blythe located?

Justin Blythe practices at 1875 Dempster St Ste 625, Park Ridge, IL 60068. The listed phone number is (847) 723-4088.

What is Justin Blythe's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Neuroscience, with taxonomy code 163WN0800X.

Is Justin Blythe enrolled in Medicare?

Yes. Justin Blythe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Justin Blythe affiliated with any hospitals?

According to CMS data, Justin Blythe is affiliated with Advocate Lutheran General Hospital.

When was this NPI record last updated?

The NPPES record for Justin Blythe was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.