Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Island Clinic Company LLC

Organization Family Medicine Physician · NPI 1609148139

Blue Island Clinic Company LLC is a Family Medicine Physician in Blue Island, Illinois. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12935 Gregory St
Blue Island, IL 60406-2428
Phone: (708) 597-2000
Fax: (708) 824-4494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Physician Assistant Taxonomy 363A00000X
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1609148139
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Brewer — Director · (615) 465-7626
NPI enumeratedJanuary 30, 2012
Last updated in NPPESJanuary 30, 2012
Mailing addressPo Box 689022, Franklin, TN 37068-9022

Other providers in Blue Island