Mr Justin David Blythe Jr, - Medicare Nurse Practitioner in Park Ridge, IL

Mr Justin David Blythe Jr, is a medicare enrolled "Registered Nurse - Neuroscience" in Park Ridge, Illinois. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Advocate Health And Hospitals Corporation and his current practice location is 1875 Dempster St Ste 625, Park Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 723-4088.

Mr Justin David Blythe Jr is licensed to practice in Illinois (license number 041548967) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669293890.

Contact Information

Mr Justin David Blythe Jr,
1875 Dempster St Ste 625,
Park Ridge, IL 60068-1137
(847) 723-4088
(847) 627-8700

Map and Direction




Provider's Profile

Full NameMr Justin David Blythe Jr
GenderMale
SpecialityNurse Practitioner
Experience1 Years
Location1875 Dempster St Ste 625, Park Ridge, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Justin David Blythe Jr graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1669293890
  • Provider Enumeration Date: 10/21/2024
  • Last Update Date: 10/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6204331747
  • Enrollment ID: I20250925000630

Medical Identifiers

Medical identifiers for Mr Justin David Blythe Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669293890NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WN0800XRegistered Nurse - Neuroscience 041548967 (Illinois)Primary
363LF0000XNurse Practitioner - Family 209-032573 (Illinois)Secondary
363L00000XNurse Practitioner 209-032573 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Lutheran General HospitalPark ridge, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advocate Health And Hospitals Corporation78108009353066

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Justin David Blythe Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Justin David Blythe Jr,
29373 Network Pl,
Chicago, IL 60673-1293

Ph: (847) 390-5900
Mr Justin David Blythe Jr,
1875 Dempster St Ste 625,
Park Ridge, IL 60068-1137

Ph: (847) 723-4088

Reviews and Comments


Registered Nurse Nurses in Park Ridge, IL

Pamela Lynn Duffey, RN BSN CEN TNS
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1775 Dempster St, Park Ridge, IL 60068
Phone: 847-723-5150    
Theresa Kwong, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1219 Hoffman Ave, Park Ridge, IL 60068
Phone: 630-363-7108    
Ms. Delicia Holmes,
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 1580 N Northwest Hwy Ste 121a, Park Ridge, IL 60068
Phone: 847-813-5779    Fax: 847-813-5216
Paul Edwards, PMHNP
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068
Phone: 847-759-9110    
Ava Marie Margitza,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 231 N Northwest Hwy, Park Ridge, IL 60068
Phone: 773-942-6336    
Faithe Metellus,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 250 S Northwest Hwy Ste 110, Park Ridge, IL 60068
Phone: 224-985-5824    
Caitlin Smith,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1775 Dempster St, Park Ridge, IL 60068
Phone: 847-723-2210    

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