Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH J BLAKE
ActiveMR. KENNETH J BLAKE is a Driver healthcare provider located in OAK PARK, Illinois. NPI 1851818389 is currently active in the NPPES registry. Verify at CMS.
Driver · OAK PARK, IL
Registration Details
- NPI Number
- 1851818389
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2017 (8.9435626629754 yrs)
- Last Updated
- Aug 25, 2017
- License
-
B42051067019
Practice Information
- Address
-
7115 NORTH AVE # 317OAK PARK, IL, 603021002Browse IL providers · Browse ZIP 60302
- Phone
- 3128807107
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in OAK PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MS. CHANDRA Y BARNES | — | 1801312764 |
| DARREN MAIDEN | — | 1801458054 |
| DR. MICHAEL FOMBANG | — | 1528758323 |
| ANTINA WINTERS | — | 1417774993 |
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.