SearchIllinois172A00000X

Blake Wilkins

NPI 1437970753 · on the registry since 2024

Practice

Address
2017 219th Pl
Sauk Village, IL 60411
Phone
(219) 281-9245
Organisation at this address
Sbw Family Transportation Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois