Individual
DR. BLAKE WILLIAM CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
211 N BROADWAY, GOREVILLE, IL 62939-2323
(618) 995-1002
(618) 995-0204
Mailing address
211 N BROADWAY, GOREVILLE, IL 62939-2323
(618) 995-1002
(618) 995-0204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12508281
IL
Other
Enumeration date
06/28/2022
Last updated
08/22/2025
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