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

Mrs. Tracy R Blake, RD

Individual provider Registered Dietitian · NPI 1851570436

Mrs. Tracy R Blake, RD is a Registered Dietitian OR Nutrition Professional in Orland Park, Illinois. Qualified in 2003, 23 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2007
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

15300 W Ave Ste 221
Orland Park, IL 60462-4508
Phone: (708) 590-5300
Fax: (708) 590-5310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164.004441 (IL)

Record details

NPI number1851570436
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedOctober 30, 2007
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Central Dupage Physician Group — 1094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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