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Dr. Katherine M Blake, D.O.

Family Medicine Physician in Libertyville, IL · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225304322

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Registry record

Entity type Individual (Type 1)
Name Dr. Katherine M Blake
Credential D.O.
Sex Female
Practice address 131 E Park Ave Ste 103, Libertyville, IL, 60048
Fax (847) 255-2015
Enumeration date Mar 22, 2012
Last updated in NPPES Mar 10, 2026

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 125-061735 (IL) Secondary
207QB0002X Obesity Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 036136377 (IL) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 64086 (WI) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036136377 (IL) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
100046359 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Katherine Blake's NPI record?
Cross-check NPI 1225304322 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1225304322 active?
Yes, as of the latest NPPES snapshot, NPI 1225304322 is active (record last updated 2026-03-10).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-10.