Dr TRACY R BLAKE is a female medical professional, specializing in Registered Dietitian Or Nutrition Professional. She graduated in 2003.
PALOS MEDICAL GROUP LLC
15300 W AVE
ORLAND PARK
IL
604624600
Tel: 7084038400
| Npi | 1851570436 |
| Pac Id | 7517140981 |
| Professional Enrollment Id | I20110322000696 |
| Last Name | BLAKE |
| First Name | TRACY |
| Middle Name | R |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
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| Organization Legal Name | PALOS MEDICAL GROUP LLC |
| Group Practice Pac Id | 4082743976 |
| Number Of Group Practice Members | 109 |
| Line 1 Street Address | 15300 W AVE |
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| City | ORLAND PARK |
| State | IL |
| Zip Code | 604624600 |
| Phone Number | 7084038400 |
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| Professional Accepts Medicare Assignment | Y |
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