Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Medical Care SC

Organization Family Medicine Physician · NPI 1013663749

Blake Medical Care SC is a Family Medicine Physician in Libertyville, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

131 E Park Ave Ste 103
Libertyville, IL 60048-2858
Phone: (847) 984-3290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1013663749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Blake — President · (847) 984-3290
Other names The Good Doc Direct Primary Care
NPI enumeratedFebruary 22, 2022
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022
Mailing address1350 Country Ct, Libertyville, IL 60048-1029

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