NPI 1104341270 · live from the CMS NPI Registry
Aniko Blake, LMFT
Marriage & Family Therapist in Chicago, IL. National Provider Identifier 1104341270, active.
NPI record
| NPI | 1104341270 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 5100 N Ravenswood Ave Ste 208, Chicago, IL 60640 |
| Practice phone | 773-885-8188 |
| Enumerated | August 9, 2017 |
| Last updated | February 6, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 166.001374 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.