Individual provider · Type 1 NPI

Judi Ellen Blake, PA-C

Surgical Physician Assistant · Glenview, IL

NPI number 1548916786 Active

Practice location

2100 Pfingsten Rd Ste 3001
Glenview, IL 60026-1301

Call (847) 657-5815 Map

Fax (847) 657-3724

Other practice locations

  • 1300 E Central Rd, Arlington Heights, IL 60005-2857 · (847) 870-6100

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085009438 (IL)
Surgical Physician Assistant Primary 363AS0400X085009438 (IL)

Surgical Physician Assistant: Definition to come...

Other surgical physician assistant providers in Glenview

See all in Glenview →

About NPI 1548916786

Judi Ellen Blake, PA-C's National Provider Identifier is 1548916786, issued on Feb 25, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Glenview, IL. The record was last updated on Aug 5, 2024.