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Contact Information

BLUE ISLAND CLINIC COMPANY LLC
12935 GREGORY ST
BLUE ISLAND, IL60406-2428
 Phone: 708-597-2000
 Fax: 708-824-4494
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BLUE ISLAND CLINIC COMPANY LLC

NPI # 1609148139
LBN Legal business name BLUE ISLAND CLINIC COMPANY LLC
Authorized official DEBBIE BREWER - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2012
Last updated 01/30/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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