MR. KENNETH J BLAKE (NPI# 1851818389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851818389 |
| Entity Type | Individual |
| Full Name | MR. KENNETH J BLAKE |
| Practice Address |
7115 North Ave # 317 Oak Park IL 60302-1002 |
| Practice Telephone | 3128807107 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | B42051067019 | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013933589 | Kenneth Blake | Chiropractor | 39000 Bob Hope Drive Probst 315, Rancho Mirage, CA 92270-3221 | 2006-07-15 |
| 1215222393 | Kenneth Blake | Behavioral Analyst | 2470 Wrondel Way, Suite 150b, Reno, NV 89502-3701 | 2011-06-16 |
| 1346396264 | Kenneth Erwin Blake | Dentist | 3400 Sw 187th Ave, Suite 2, Aloha, OR 97006-3131 | 2007-01-25 |
| 1851444012 | Kenneth Aaron Blake | Counselor | 2600 W 9th St, 4th Flr, Chester, PA 19013-2040 | 2007-01-19 |
| 1174622070 | Kenneth D Blake | Colon & Rectal Surgery | 10103 Ridgegate Pkwy, Suite 208, Lone Tree, CO 80124-5520 | 2006-09-21 |
| Street Address |
7115 NORTH AVE # 317 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316464969 | B. Safe Transportation LLC | Non-emergency Medical Transport (VAN) | 7115 North Ave # 317, Oak Park, IL 60302-1002 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801458054 | Darren Maiden | Driver | 1132 Westgate St Apt 301, Oak Park, IL 60301-1380 | 2019-07-08 |
| 1265091706 | Tresa Diane Fore | Driver | 25900 Greenfield Rd Ste 326, Oak Park, MI 48237-1297 | 2019-06-09 |
| 1467908988 | Terrance Roderick Johnson | Driver | 24110 Rosewood St, Oak Park, MI 48237-2240 | 2016-08-26 |
| 1568885408 | Michael Jenkins Jr. | Driver | 13430 Dartmouth St, Oak Park, MI 48237-1638 | 2014-01-29 |
| 1801312764 | Chandra Y Barnes | Driver | 7115 North Ave, #317, Oak Park, IL 60304 | 2017-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033179 | Nakiesha Walton | Driver | 807 Ridge Dr # 520, Dekalb, IL 60115-1385 | 2020-11-06 |
| 1679173025 | Victoria Williams | Driver | 853 N Highland Ave Ste C, Aurora, IL 60506-2218 | 2020-10-27 |
| 1669088175 | Robert D Smith | Driver | 7400 Timbercrest Dr, Godfrey, IL 62035-2894 | 2020-09-20 |
| 1104435551 | Oluwagbenga Afiamoye Ojo | Driver | 6969 N Ashland Blvd Unit 101, Chicago, IL 60626-3354 | 2020-07-30 |
| 1780216622 | David Woods | Driver | 802 Mountaineer Ln Apt C, Marion, IL 62959-4132 | 2020-02-09 |
| 1619508843 | Tywan Thompson | Driver | 1329 Coldspring Rd, Carol Stream, IL 60188-4713 | 2020-01-27 |
| 1437789732 | Ruby Nelson | Driver | 14429 S Emerald Ave, Riverdale, IL 60827-2618 | 2020-01-25 |
| 1861030009 | National Center for Economics | Driver | 300 Read St Ste B, Lockport, IL 60441-3265 | 2019-12-18 |
| 1811530769 | Safeway Transportation Services Corp | Driver | 550 N Green Bay Rd Ste 1, Waukegan, IL 60085-3183 | 2019-10-23 |
| 1912548611 | Best Transportation & Logistics | Driver | 11958 S Paulina St, Calumet Park, IL 60827-5316 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. KENNETH J BLAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.