Blue Island Medical Group
Blue Island Medical Group is a Pediatrics Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
1802 W Chicago Ave Ste 2Chicago, IL 60622
Phone: (773) 278-2998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 036090820 (IL) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence 036090820 (IL) |
Record details
| NPI number | 1699075804 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hector Flores — President · (773) 278-2998 |
| NPI enumerated | October 22, 2010 |
| Last updated in NPPES | October 22, 2010 |
| Mailing address | 1802 W Chicago Ave, Suite 2, Chicago, IL 60622 |
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