Marcia E. Blake, OD
Marcia E. Blake, OD is an Optometrist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
Practice location Address checks out
1903 W 103rd StChicago, IL 60643-2624
Phone: (773) 233-7799
Fax: (773) 233-6362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 046-006808 (IL) |
|---|
Record details
| NPI number | 1205253200 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marcia Blake — Owner · (773) 233-7799 |
| NPI enumerated | March 27, 2014 |
| Last updated in NPPES | March 27, 2014 |
| Mailing address | 1903 W 103rd St, Chicago, IL 60643-2624 |
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