Family Medicine
Dr. KATHERINE BLAKE D.O.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1225304322 · enumerated 2012-03-22 · record updated 2026-03-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 131 E PARK AVE STE 103, LIBERTYVILLE, IL, 60048-2858 (847) 984-3290 Fax (847) 255-2015 Google Maps Apple Maps OpenStreetMap
- Practice location 131 E PARK AVE STE 103, LIBERTYVILLE, IL, 60048-2858 (847) 984-3290 Fax (847) 255-2015 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · License 125-061735 IL
- Family Medicine, Bariatric Medicine 207QB0002X · License 036136377 IL
- Family Medicine 207Q00000X · License 64086 WI
- Family Medicine 207Q00000X · Primary · License 036136377 IL
Published links
In this directory
Locations and evidence
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Practice location
LIBERTYVILLE, IL, 600482858
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.