Organization · Type 2 NPI

Blue Island Medical Group

General Practice Physician · Chicago, IL

NPI number 1699075804 Active

Practice location

1802 W Chicago Ave, Suite 2
Chicago, IL 60622

Call (773) 278-2998 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X036090820 (IL)
General Practice Physician Primary 208D00000X036090820 (IL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

6 other providers at this address

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About NPI 1699075804

Blue Island Medical Group's National Provider Identifier is 1699075804, issued on Oct 22, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 22, 2010.