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Contact Information

BLAKE ALBERTS, MD
5841 S MARYLAND AVE # MC6040
CHICAGO, IL60637-1447
 Phone: 773-753-1880
 Fax: 773-702-2140
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BLAKE ALBERTS · (Male)

NPI # 1912310178
Status Active
Credentials MD
Entity Individual
Enumeration date 06/05/2014
Last updated 06/05/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125-064560
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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