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

Emergency Medicine Physicians of Blue Island, LLC

Organization Emergency Medicine Physician · NPI 1922465012

Emergency Medicine Physicians of Blue Island, LLC is an Emergency Medicine Physician in Blue Island, Illinois. Registered with an NPI since 2016.

In the registry since
2016
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

12935 S Gregory St
Blue Island, IL 60406-2428
Phone: (330) 493-4443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1922465012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Packo — President · (330) 493-4443
NPI enumeratedJanuary 21, 2016
Last updated in NPPESAugust 21, 2018
Mailing address4535 Dressler Rd Nw, Canton, OH 44718-2545

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