Annessa R Blackmun is a Chicago, Illinois based female podiatrist who is specialized in Podiatric Foot & Ankle Surgery. Active license number of Annessa R Blackmun for Podiatric Foot & Ankle Surgery is 2010035799 in Missouri. Annessa R Blackmun provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. She is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Annessa R Blackmun speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
DPM
Gender:
Female
Practice Address:
4350 N Broadway St, Floor 2, Chicago, Illinois, 60613-1781
Phone:
773-770-0140
Fax:
773-770-0141
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.
NPI Number:
1538321047
NPI Enumeration Date:
26 Jun, 2008
NPI Last Update On:
29 Mar, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Annessa R Blackmun are as mentioned below.
License Number
Specialization
State
Status
2010035799
Podiatric Foot & Ankle Surgery
Missouri
Primary
016.005464
Podiatry
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Annessa R Blackmun such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P01781390
Other
Missouri
RAILROAD MEDICARE
1538321047
Medicaid
Missouri
P01796928
Other
Illinois
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 23359, Floor 2 Saint Louis, Missouri
Zip:
63156-3359
Phone Number:
314-932-1570
Fax Number:
314-932-1571
Patients can reach Annessa R Blackmun at 4350 N Broadway St, Floor 2, Chicago, Illinois or can call to book an appointment on 773-770-0140. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.