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Organization
BLAKE MEDICAL CARE SC
Active
Organization
BLAKE MEDICAL CARE SC
Active
Other names
The Good Doc Direct Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE BLAKE DO (PRESIDENT)
(847) 984-3290
Entity
Organization
Contact information
Practice address
131 E PARK AVE STE 103, LIBERTYVILLE, IL 60048-2858
(847) 984-3290
Mailing address
1350 COUNTRY CT, LIBERTYVILLE, IL 60048-1029
(847) 984-3290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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