Individual
BLAKE MICHAEL ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1425 N HUNT CLUB RD, STE 100, GURNEE, IL 60031-2632
(847) 548-2200
(847) 548-2865
Mailing address
1425 NORTH HUNT CLUB ROAD, STE 100, GURNEE, IL 60031-2632
(847) 548-2200
(847) 548-2865
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009520
IL
Other
Enumeration date
10/23/2021
Last updated
03/21/2024
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