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BLAKE MEDICAL CARE SC
NPI 1013663749
Family Medicine in Libertyville, IL

Active since February 22, 2022
131 E PARK AVE STE 103, LIBERTYVILLE, IL 60048(847) 984-3290 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Medical Care Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE MEDICAL CARE SC (NPI 1013663749), doing business as The Good Doc Direct Primary Care, is a healthcare organization registered as a family medicine in Libertyville, Illinois and active in the NPI registry since February 2022. The organization lists Katherine Blake, President, as its authorized official.

NPPES Registry Identity

NPI1013663749
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLAKE MEDICAL CARE SC
Location Address131 E PARK AVE STE 103Libertyville, IL 60048-2858
Mailing Address1350 Country CtLibertyville, IL 60048-1029 · (847) 984-3290
Phone(847) 984-3290
Organization SubpartNo
Authorized OfficialKatherine BlakePresident · (847) 984-3290
Enumeration DateFebruary 22, 2022
NPPES CertifiedFebruary 22, 2022
✔ NPI 1013663749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
131 E PARK AVE STE 103, Libertyville, IL 60048
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Other Names 1

Doing Business AsThe Good Doc Direct Primary Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHSTAR REHAB PAIN CLINICS PLLC
Physical Medicine & Rehabilitation
131 E PARK AVE STE 103
LIBERTYVILLE, IL 60048
Lake County (847) 393-6246
DR. KATHERINE M BLAKE D.O.
Family Medicine
131 E PARK AVE STE 103
LIBERTYVILLE, IL 60048
Lake County (847) 984-3290
NORTHSTAR REHAB PAIN CLINICS PLLC
Durable Medical Equipment & Medical Supplies
131 E PARK AVE STE 103
LIBERTYVILLE, IL 60048
Lake County (847) 393-6246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Medical Care Sc's NPI number?

The NPI number for Blake Medical Care Sc is 1013663749. It was assigned to this organization in the NPPES registry on February 22, 2022. The provider is doing business as The Good Doc Direct Primary Care.

Where is Blake Medical Care Sc located?

Blake Medical Care Sc is located at 131 E Park Ave Ste 103, Libertyville, IL 60048. The listed phone number is (847) 984-3290.

What is Blake Medical Care Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Blake Medical Care Sc was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.