BLUE ISLAND MEDICAL GROUP – NPI #1699075804
General Practice

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

BLUE ISLAND MEDICAL GROUP is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1699075804 to BLUE ISLAND MEDICAL GROUP on October 22, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE ISLAND MEDICAL GROUP below.

NPI Profile for
BLUE ISLAND MEDICAL GROUP

NPI Number
1699075804
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE ISLAND MEDICAL GROUP
Primary location
1802 W CHICAGO AVE
SUITE 2
CHICAGO, IL 60622
Phone: (773) 278-2998 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HECTOR FLORES
PRESIDENT
Phone: (773) 278-2998
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
IL 036090820
208000000X
- Pediatrics
IL 036090820

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.