BLAKE MEDICAL CARE SC – NPI #1013663749
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BLAKE MEDICAL CARE SC is a provider located in LIBERTYVILLE, IL. NPPES has assigned the NPI number 1013663749 to BLAKE MEDICAL CARE SC on February 22, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLAKE MEDICAL CARE SC below.

NPI Profile for
BLAKE MEDICAL CARE SC

NPI Number
1013663749
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLAKE MEDICAL CARE SC
Primary location
131 E PARK AVE STE 103
LIBERTYVILLE, IL 60048-2858
Phone: (847) 984-3290 Fax:
Mailing address
1350 COUNTRY CT
LIBERTYVILLE, IL 60048-1029
Phone: (847) 984-3290 Fax:
Organization Subpart
No
Authorized Official
KATHERINE BLAKE
PRESIDENT
Phone: (847) 984-3290
Updated
Certification Date
Feb 22, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.