Ackman Blake, Kathleen
Ackman Blake, Kathleen is an individual health care provider with primary practice located at 126 W First Street , Hinsdale IL 60521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Ackman Blake, Kathleen can be contacted via phone (630) 325-5200.Contact Information
Primary practice address
126 W First Street
Hinsdale IL 60521
Phone: (630) 325-5200
Fax: (630) 325-5569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0360647112 | Illinois |
Profile Details
| NPI number | 1497734966 |
|---|---|
| LBN Legal business name | Ackman Blake, Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Jul 21st, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497734966 | NPPES |
| Illinois | Other | L77523 | MEDICARE PTAN |
| Illinois | MEDICAID | 0360647112 | MEDICARE PTAN |
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