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Absalom Blackmon

Kinesiotherapist

5000 S 5th Ave Bldg 128
Hines , Illinois 60141-3030

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Absalom Blackmon

Kinesiotherapist

5000 S 5th Ave Bldg 128
Hines , Illinois 60141-3030

(601) 874-8542

Write a Review Save Call

Absalom Blackmon

Kinesiotherapist

5000 S 5th Ave Bldg 128
Hines , Illinois 60141-3030

(601) 874-8542 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Kinesiotherapist

Languages spoken

  • English

Location

5000 S 5th Ave Bldg 128 Hines , Illinois 60141-3030

First Address

  • Absalom Blackmon
  • Po Box 171
  • Hines, IL
  • Zip : 60141-0171
  • Phone : (601) 874-8542

Second Address

  • Absalom Blackmon
  • 5000 S 5th Ave Bldg 128
  • Hines, IL
  • Zip : 60141-3030
  • Phone : (708) 202-3936

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FAQs


Where did Absalom Blackmon attend graduate school?

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Where did Absalom Blackmon do his residency?

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Where did Absalom Blackmon do his fellowship?

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Is Absalom Blackmon board certified?

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What type of doctor is Absalom Blackmon

Kinesiotherapist

In what state does Absalom Blackmon practice in?

Illinois

Where is Absalom Blackmon ’s practice located?

5000 S 5th Ave Bldg 128 , Hines, Illinois, 60141-3030

What is Absalom Blackmon ’s gender?

Male

Is Absalom Blackmon a sole practitioner?

No

Is Absalom Blackmon accepting new patients?

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What languages does Absalom Blackmon speak?

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Does Absalom Blackmon accept insurance?

Yes, Absalom Blackmon accepts insurance

Does Absalom Blackmon offers telemedicine?

Absalom Blackmon has not indicated if he offers telemedicine

What is Absalom Blackmon ’s professional license number?

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What is Absalom Blackmon ’s NPI number?

1407474919

Does Absalom Blackmon have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 226300000X Kinesiotherapist 2055 IL

National Provider Identifier

NPI 1407474919
Provider Name Absalom Blackmon
First Address Hines, IL 60141-0171
Second Address Hines, IL 60141-3030
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 10/07/2020
Last Update Date 10/07/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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