# HOPE MEDICAL SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972558757
- **Authorized official:** WAYNE S BLAKE DO (OWNER / PHYSICIAN)
- **Authorized official phone:** (708) 388-3022

## Contact information

- **Practice address:** 2310 YORK ST, SUITE 3C, BLUE ISLAND, IL 60406-2411
- **Practice address phone:** (708) 388-3022
- **Mailing address:** 2310 YORK ST, SUITE 3C, BLUE ISLAND, IL 60406-2411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 08/22/2020