GRACE BLAKE
NPI 1124971395
Physician Assistant in Chicago, IL

Active since February 18, 2026
1 E SUPERIOR ST STE 306, CHICAGO, IL 60611(312) 754-9404(312) 754-9402 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grace Blake NPPES

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

GRACE BLAKE (NPI 1124971395) is an individual physician assistant in Chicago, Illinois and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1124971395
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGRACE BLAKE
Location Address1 E SUPERIOR ST STE 306Chicago, IL 60611-2595
Mailing Address1650 Harvard St Nw Apt 121Washington, DC 20009-3726 · (603) 724-1870
Fax(312) 754-9402
Sole ProprietorNo
Enumeration DateFebruary 18, 2026
Last NPPES UpdateJune 2, 2026
NPPES CertifiedJune 2, 2026
NPI 1124971395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1 E SUPERIOR ST STE 306, Chicago, IL 60611

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical Child & Adolescent)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Physician Assistant
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Student in an Organized Health Care Education/Training Program
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Counselor (Professional)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Counselor (Professional)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Psychiatry & Neurology (Psychiatry)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Physician Assistant
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611
Counselor (Mental Health)
1 E SUPERIOR ST STE 306
CHICAGO, IL 60611

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 Grace Blake's NPI number?

The NPI number for Grace Blake is 1124971395. It was assigned to this individual provider in the NPPES registry on February 18, 2026.

Where is Grace Blake located?

Grace Blake practices at 1 E Superior St Ste 306, Chicago, IL 60611. The listed phone number is (312) 754-9404.

What is Grace Blake's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Grace Blake was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.