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

Ryan Blake, FNP-BC

Individual provider Family Medicine Physician · NPI 1265083208

Ryan Blake, FNP-BC is a Nurse Practitioner in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with Access Community Health Network, a 184-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3752 W 16th St
Chicago, IL 60623-2028
Phone: (773) 762-2435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 209019763 (IL)

Record details

NPI number1265083208
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 20, 2019
Last updated in NPPESSeptember 20, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Access Community Health Network — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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