Andrea Blake, DC | |
2410 W Jefferson St, Ste 116, Joliet, IL 60435-6449 | |
(630) 468-1831 | |
(630) 701-1007 |
Full Name | Andrea Blake |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 2410 W Jefferson St, Joliet, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164759981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038011465 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Andrea Blake, DC Po Box 5977, Dept. 20-3059, Carol Stream, IL 60197-5977 Ph: (630) 468-1831 | Andrea Blake, DC 2410 W Jefferson St, Ste 116, Joliet, IL 60435-6449 Ph: (630) 468-1831 |
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