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Shadeja Blake

NPI 1992601009 · on the registry since 2026

Practice

Address
6904 N Clark St
Chicago, IL 60626
Phone
(779) 875-5452
Organisation at this address
Allied Benefit Care Services Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-10-15

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