Search › Illinois › 225100000X
Gregory Blakely
NPI 1538663463 · on the registry since 2018
Practice
- Address
- 811 North 1st Street
Vienna, IL 62995 - Phone
- (618) 658-8144
- Fax
- (618) 658-9146
- Organisation at this address
- Real Rehabilitation Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-23
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