Blake Medical Care Sc

NPI #1013663749 in Libertyville, Illinois

Provider Information

NPI Number
1013663749
Entity Type
Organization
Organization Name
Blake Medical Care Sc
Primary Specialty
Family Medicine
Enumeration Date
Feb 22, 2022
Last Updated
Feb 22, 2022

Practice Location

Address
131 E PARK AVE STE 103
ZIP Code
60048-2858
Phone
(847) 984-3290

Authorized Official

Name
DR. KATHERINE BLAKE, DO
Title
PRESIDENT
Phone
(847) 984-3290

Specialties & Taxonomy Codes

Specialty
Family Medicine

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