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Mr. Kenneth J Blake
Driver in Oak Park, Illinois
NPI 1851818389

Kenneth J Blake is a Driver based in Oak Park, IL. Kenneth J Blake practices in Oak Park, IL. The NPI Number for Kenneth J Blake is 1851818389 and holds a License No. B42051067019 (Illinois).

The current practice location address for Kenneth J Blake is 7115 North Ave # 317, Oak Park, IL and can be reached out via phone at 312-880-7107.

Location: 7115 North Ave # 317, Oak Park, IL, 60302-1002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851818389
Provider Name
Kenneth J Blake
Credential
Provider Entity Type
Individual
Gender
Male
Address
7115 North Ave # 317, Oak Park, IL, 60302-1002
Phone Number
312-880-7107
Fax Number
Provider Enumeration Date
08/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7115 North Ave # 317
City
Oak Park
State
Illinois
Zip
60302-1002
Phone Number
312-880-7107
Fax Number
person
Provider Business Mailing Address Details
Address
7115 North Ave # 317
City
Oak Park
State
Illinois
Zip
60302-1002
Phone Number
312-880-7107
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
B42051067019 ()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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