OrganizationActive
Blake Medical Care Sc
NPI 1013663749 · Family Medicine Physician · Libertyville, IL
Provider details
- NPI number
- 1013663749
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Katherine Blake, President(847) 984-3290
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
131 E Park Ave Ste 103
Libertyville, IL 60048-2858
Phone: (847) 984-3290
Street-level locationGet directions
Mailing address
1350 Country Ct
Libertyville, IL 60048-1029
Other names (DBA / former)
- Doing business as
- The Good Doc Direct Primary Care
Registry dates
- Enumerated
- 2022-02-22
- Last updated
- 2022-02-22
- Certified
- 2022-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.