DR. Katherine M Blake, D.O.
NPI #1225304322 in Libertyville, Illinois
Provider Information
- NPI Number
- 1225304322
- Entity Type
- Individual
- Name
- DR. Katherine M Blake, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- Mar 22, 2012
- Last Updated
- May 3, 2022
Practice Location
- Address
- 131 E PARK AVE STE 103
- City
- Libertyville
- State
- Illinois
- ZIP Code
- 60048-2858
- Phone
- (847) 984-3290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Family Medicine - Obesity Medicine — Obesity Medicine |
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