Willie Larry Blackmon, CADC, LCPC, MA
- Affiliated sites
- 1
- State license
- 1
- Year NPI issued
- 2007
- Practice address
- 5257 S Cicero Ave, Chicago, IL 60632
- Practice phone
- Call (773) 735-8038
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Nowobilska Medical Practice Ltd
Chicago, Illinois
Find Willie Blackmon's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Willie Larry Blackmon is a professional counselor in Chicago, Illinois
Willie Blackmon practices at Nowobilska Medical Practice Ltd in Chicago, Illinois.
Willie Blackmon's NPI, 1477762052, was assigned on May 21, 2007. Willie Blackmon holds Illinois license 180.007189.
- NPI
- 1477762052NPI Registry (opens in a new tab)
- Medicare PAC ID
- 1557899366
- NPI enumeration date
- May 21, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (773) 735-8038
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 51
- Medical school graduation
- 2001
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Willie Larry Blackmon practices at Nowobilska Medical Practice Ltd in Chicago, Illinois
Willie Blackmon's primary practice is Nowobilska Medical Practice Ltd, at 5257 S Cicero Ave, Chicago, IL 60632 in Cook County. The practice phone is (773) 735-8038.
- Nowobilska Medical Practice Ltd5257 S Cicero Ave, Chicago, IL 60632 · Cook CountyPhone(773) 735-8038
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Willie Larry Blackmon is affiliated with 2 sites of care
Willie Blackmon's primary practice is Nowobilska Medical Practice Ltd in Chicago, Illinois. Dmand AI also links Willie Blackmon to 1 physician office, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Willie Larry Blackmon's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Willie Blackmon practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Nowobilska Medical Practice Ltd | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Willie Larry Blackmon is one of 2,929 professional counselors in Illinois
Professional is Willie Blackmon's primary specialty in the NPI Registry, under taxonomy code 101YP2500X. Willie Blackmon is licensed in Illinois.
Specialties and state licenses
- Professional counselor, IllinoisPrimary
Professional counselors near Willie Blackmon
Counts of professional counselors with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Willie Larry Blackmon's patients have a median age of 36
Across all payers, Dmand AI patient panel data puts Willie Blackmon's median patient age at 36, with 67% women.
Willie Blackmon's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 36
Patient panel by sex, all payers
- Women67%
- Men33%
Source: Dmand AI Patient Panel Data
How Willie Larry Blackmon takes part in Medicare
Willie Blackmon accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Willie Larry Blackmon's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Willie Larry Blackmon
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Willie Larry Blackmon's NPI number?
Willie Larry Blackmon's NPI number is 1477762052. It was assigned on May 21, 2007, and it is active in the NPI Registry.
What does Willie Larry Blackmon specialize in?
Willie Larry Blackmon is a professional counselor in Chicago, Illinois. The primary specialty in the NPI Registry is Professional Counselor (taxonomy code 101YP2500X).
Where does Willie Larry Blackmon practice?
Willie Blackmon practices at 5257 S Cicero Ave, Chicago, IL 60632. Willie Blackmon's primary practice is Nowobilska Medical Practice Ltd in Chicago, Illinois. Dmand AI also links Willie Blackmon to 1 physician office.
What is Willie Larry Blackmon's office phone number?
The practice phone on file for Willie Blackmon is (773) 735-8038.
What is Willie Larry Blackmon's medical license number?
Willie Blackmon holds Illinois license 180.007189.
Does Willie Larry Blackmon accept Medicare?
Yes. CMS lists Willie Blackmon as accepting Medicare assignment.
How long has Willie Larry Blackmon been practicing?
Willie Blackmon graduated from medical school in 2001, 25 years ago.
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