ANDREA BLAKE

JOLIET, IL
NPI1164759981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: IL  038011465)
Enumeration Date2009-11-16
Last Update Date2009-11-16
Business Address
ANDREA BLAKE DC
2410 W JEFFERSON ST STE 116
JOLIET, IL 60435-6449
Phone number: 630-468-1831
Mailing Address
ANDREA BLAKE DC
PO BOX 5977 DEPT. 20-3059
CAROL STREAM, IL 60197-5977
Phone number: 630-468-1831
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