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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