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

Blue Island Medical SC

Organization Chiropractor · NPI 1639890395

Blue Island Medical SC is a Chiropractor in Blue Island, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

12943 Western Ave
Blue Island, IL 60406-2416
Phone: (773) 278-9525
Fax: (773) 337-9135
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1639890395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eugene Jao — President · (312) 961-6611
NPI enumeratedSeptember 9, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022
Mailing addressPo Box 4782, Chicago, IL 60680-4782

Other providers in Blue Island