Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATHERINE M BLAKE, D.O.
ActiveDR. KATHERINE M BLAKE, D.O. is a Family Medicine healthcare provider located in LIBERTYVILLE, Illinois. NPI 1225304322 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LIBERTYVILLE, IL
Registration Details
- NPI Number
- 1225304322
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2012 (14.375593183234 yrs)
- Last Updated
- May 3, 2022
- Licenses
-
125-061735 (IL)64086 (WI)036136377 (IL)036136377 (IL)
Practice Information
- Address
-
131 E PARK AVE STE 103LIBERTYVILLE, IL, 600482858Browse IL providers · Browse ZIP 60048
- Phone
- 8479843290
- Fax
- 8472552015
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LIBERTYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTOPHER E.C. HARRIS | M.D. | 1396742060 |
| WILLIAM R GREENFIELD | MD | 1740272988 |
| CHARLES S COLODNY | MD | 1659363893 |
| DR. WILLIAM A MARTINEZ | MD | 1144212382 |
| SANDRA TSAI YOO | MD | 1366434508 |
| DR. DANIEL JOSEPH LYNCH | M.D. | 1477548782 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.