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Contact Information

BLAKE S SANFORD, MD
3 ERIE CT
OAK PARK, IL60302-2519
 Phone: 708-383-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BLAKE S SANFORD · (Male)

NPI # 1306308408
Status Active
Credentials MD
Entity Individual
Enumeration date 04/05/2019
Last updated 07/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 64817
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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