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

Blueze LLC

Organization Family Medicine Physician · NPI 1306371299

Blueze LLC is a Family Medicine Physician in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2412 E Washington St Ste 6
Bloomington, IL 61704-4497
Phone: (309) 585-2116
Fax: (309) 585-2152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036099319 (IL)

Record details

NPI number1306371299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Nilles — Sole Mbr · (309) 585-2116
NPI enumeratedApril 27, 2017
Last updated in NPPESApril 27, 2017
Mailing address2412 E Washington St, Suite 6, Bloomington, IL 61704-4497

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