Blue Island Clinic Company Llc

LBN: Blue Island Clinic Company Llc
Blue Island Clinic Company Llc is an health care organization with primary practice located at 12935 Gregory St , Blue Island IL 60406-2428. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Blue Island Clinic Company Llc can be contacted via phone (708) 597-2000, or through Brewer, Debbie T via phone (615) 465-7626.

Contact Information

Primary practice address
12935 Gregory St Blue Island IL 60406-2428
Phone: (708) 597-2000
Fax: (708) 824-4494
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie T
Phone: (615) 465-7626

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1609148139
LBN Legal business name Blue Island Clinic Company Llc
DBA Doing business as
Authorized official Brewer, Debbie T
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2012
Last updated Jan 30th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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