NPI 1437970753

Blake L Wilkins

Practitioner Driver Sauk Village, IL

Practice location

Address: 2017 219th Pl, Sauk Village, IL 60411-5005
Phone: (219) 281-9245

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 3360229568 (IN)

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Registry record

NPI: 1437970753
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2024
Record last updated: 19 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.