SearchIllinois133V00000X

Tracy Blake, RD

NPI 1851570436 · on the registry since 2007

Practice

Address
15300 West Ave Ste 221
Orland Park, IL 60462
Phone
(708) 590-5300
Fax
(708) 590-5310
Organisation at this address
Lori Leipold Do
Doctors-Kare Ltd
Patrick J. O'Neal
Palos Imaging, Llc
Shafiq Ahmed, Md, Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
150

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-01

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