Individual provider · Type 1 NPI

Grace Blake

Physician Assistant · Chicago, IL

NPI number 1124971395 Active

Practice location

1 E Superior St Ste 306
Chicago, IL 60611-2595

Call (312) 754-9404 Map

Fax (312) 754-9402

Mailing address

1650 Harvard St NW Apt 121
Washington, DC 20009-3726

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124971395

Grace Blake's National Provider Identifier is 1124971395, issued on Feb 18, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 2, 2026.