Blake, Katherine M

Blake, Katherine M is an individual health care provider with primary practice located at 131 E Park Ave Ste 103 , Libertyville IL 60048-2858. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Blake, Katherine M can be contacted via phone (847) 984-3290.

Contact Information

Primary practice address
131 E Park Ave Ste 103 Libertyville IL 60048-2858
Phone: (847) 984-3290
Fax: (847) 255-2015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125-061735 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 64086 Wisconsin
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X 036136377 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036136377 Illinois

Profile Details

NPI number 1225304322
LBN Legal business name Blake, Katherine M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2012
Last updated May 3rd, 2022 - about 2 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.

Request for update

Popular Providers