Individual ProviderKenneth Morris BlairFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1 Erie Ct, Suite 6160, Oak Park, IL 60302-2566(708) 763-1490PECOS EnrollmentBased on the most recent information from CMS, provider Kenneth Morris Blair does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1134148182Provider TypeIndividualFull NameBlair, Kenneth MorrisCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/19/2006Last Updated8/21/2013Contact InformationPractice LocationPractice Address1 Erie Ct, Suite 6160, Oak Park, IL 60302-2566Phone(708) 763-1490Fax(708) 763-7232Mailing LocationMailing Address1 Erie Ct, Suite 6160, Oak Park, IL 60302-2566Phone(708) 763-1490Fax(708) 763-7232Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036-053547Illinois