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BLUE DIAMOND HEALTH CARE LLC
NPI 1053543520
Family Medicine in Chicago, IL

Active since August 18, 2009CLIA 14D2040984 · Microscopy
2749 W NORTH AVE, CHICAGO, IL 60647(773) 292-9660 Get Directions Write a Review

NPPES record last updated: August 18, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blue Diamond Health Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE DIAMOND HEALTH CARE LLC (NPI 1053543520) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since August 2009. The organization holds a CLIA Microscopy certificate valid through May 14, 2028 and lists James L Vacracos, Business Representative, as its authorized official.

NPPES Registry Identity

NPI1053543520
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUE DIAMOND HEALTH CARE LLC
Location Address2749 W NORTH AVEChicago, IL 60647-5246
Mailing Address8606 Delaware StHighland, IN 46322-1776 · (219) 765-3431
Phone(773) 292-9660
Organization SubpartNo
Authorized OfficialJames L VacracosBusiness Representative · (773) 292-9660
Enumeration DateAugust 18, 2009
✔ NPI 1053543520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2749 W NORTH AVE, Chicago, IL 60647
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Other Identifiers 1

Medicaid036085675IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2040984

Blue Diamond Health Care LLC · Chicago, IL
Active · expires May 14, 2028
CLIA Number14D2040984
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorJames L. Vacracos PA
Laboratory Phone(773) 292-9660
Laboratory LocationBlue Diamond Health Care LLCSunny Side Medical Center 3228 W North Ave, Chicago, IL 60647
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASAM MEDICAL SC
Family Medicine
2749 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 292-9660
BLUE DIAMOND HEALTH CARE LLC
Family Medicine
2749 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 292-9660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Diamond Health Care LLC's NPI number?

The NPI number for Blue Diamond Health Care LLC is 1053543520. It was assigned to this organization in the NPPES registry on August 18, 2009.

Where is Blue Diamond Health Care LLC located?

Blue Diamond Health Care LLC is located at 2749 W North Ave, Chicago, IL 60647. The listed phone number is (773) 292-9660.

What is Blue Diamond Health Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Blue Diamond Health Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2040984) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Diamond Health Care LLC was last updated on August 18, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.