Organization
HOPE MEDICAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE S BLAKE DO (OWNER / PHYSICIAN)
(708) 388-3022
Entity
Organization
Contact information
Practice address
2310 YORK ST, SUITE 3C, BLUE ISLAND, IL 60406-2411
(708) 388-3022
Mailing address
2310 YORK ST, SUITE 3C, BLUE ISLAND, IL 60406-2411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
08/22/2020
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