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

Grace Blake

Individual provider Physician Assistant · NPI 1124971395

Grace Blake is a Physician Assistant in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

1 E Superior St Ste 306
Chicago, IL 60611-2595
Phone: (312) 754-9404
Fax: (312) 754-9402
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IL)

Record details

NPI number1124971395
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2026
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address1650 Harvard St Nw Apt 121, Washington, DC 20009-3726

Other providers in Chicago