Tillary Blaine Blackman is a Chicago, Illinois based psychologist with 6 years of experience in Clinical Psychology. He completed his graduation in 2018. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Tillary Blaine Blackman is 071010501 for Clinical Psychology in Illinois. His current practice location is 1700 W Irving Park Rd Ste 305b, Chicago. Patients can reach him at 312-585-6965 or can fax him at 877-655-9891. Tillary Blaine Blackman is PSY.D. in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1356866750. Tillary Blaine Blackman is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Tillary Blaine Blackman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Tillary Blaine Blackman
Specialization:
Clinical Psychology
Gender:
Male
Credentials:
PSY.D.
Experience:
6+ years
Medical School Attended:
Other
Graduation Year:
2018
Accepts Medicare Assignment:
Yes
Practice Address:
1700 W Irving Park Rd Ste 305b, Chicago, Illinois, 60613-2462
Phone:
312-585-6965
Fax:
877-655-9891
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5395154942
Enrollment ID:
I20210511002167
NPI Number:
1356866750
NPI Enumeration Date:
07 Aug, 2017
NPI Last Update On:
09 Nov, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tillary Blaine Blackman are as mentioned below.
License Number
Specialization
State
Status
071010501
Clinical Psychology
Illinois
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Tillary Blaine Blackman is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Meier Clinics Of Illinois, P.c. (5193612836)
14
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Tillary Blaine Blackman 3319 N Seeley Ave, Chicago, Illinois
Zip:
60618-6221
Phone Number:
872-302-7123
Patients can reach Tillary Blaine Blackman at 1700 W Irving Park Rd Ste 305b, Chicago, Illinois or can call to book an appointment on 312-585-6965.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.