Blake, Kenneth J

Blake, Kenneth J is an individual health care provider with primary practice located at 7115 North Ave # 317 , Oak Park IL 60302-1002. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Blake, Kenneth J can be contacted via phone (312) 880-7107.

Contact Information

Primary practice address
7115 North Ave # 317 Oak Park IL 60302-1002
Phone: (312) 880-7107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X B42051067019

Profile Details

NPI number 1851818389
LBN Legal business name Blake, Kenneth J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2017
Last updated Aug 25th, 2017 - about 7 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.

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