Individual
MR. KEITH I BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5230 OLD ORCHARD RD, SKOKIE, IL 60077-1034
(847) 492-3040
(847) 492-3045
Mailing address
PO BOX 4543, CAROL STREAM, IL 60197-4543
(800) 834-8787
(847) 807-4916
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036061051
IL
Other
Enumeration date
02/05/2007
Last updated
06/29/2016
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