Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Judi Ellen Blake, PA-C

Individual provider Physician Assistant · NPI 1548916786

Judi Ellen Blake, PA-C is a Physician Assistant in Glenview, Illinois. Qualified in 2022, 4 years ago. Practices with Illinois Bone and Joint Institute, LLC, a 606-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2100 Pfingsten Rd Ste 3001
Glenview, IL 60026-1301
Phone: (847) 657-5815
Fax: (847) 657-3724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085009438 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085009438 (IL)

Record details

NPI number1548916786
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 25, 2022
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Illinois Bone And Joint Institute, Llc — 606 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Glenview