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

Sa Padua Medical Center, LLC

Organization Family Medicine Physician · NPI 1396074753

Sa Padua Medical Center, LLC is a Family Medicine Physician in Blue Island, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
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

2310 York St Ste 2C
Blue Island, IL 60406-2411
Phone: (708) 388-4902
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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 036119492 (IL)

Record details

NPI number1396074753
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerome Jabbour — President · (219) 836-9024
NPI enumeratedDecember 15, 2009
Last updated in NPPESAugust 20, 2010
Mailing address9201 Calumet Ave, Munster, IN 46321-2807

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