Blackwood, Brandon Stuart

Blackwood, Brandon Stuart is an individual health care provider with primary practice located at 1000 N Westmoreland Rd , Lake Forest IL 60045-1658. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Emergency. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Blackwood, Brandon Stuart can be contacted via phone (847) 234-5600.

Contact Information

Primary practice address
1000 N Westmoreland Rd Lake Forest IL 60045-1658
Phone: (847) 234-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209020242 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X 209020242 Illinois

Profile Details

NPI number 1144867441
LBN Legal business name Blackwood, Brandon Stuart
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2019
Last updated Apr 15th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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