1. Home
  2. Directory
  3. Illinois
  4. Blue Island
  5. Family Medicine
  6. NPI Profile

SA PADUA MEDICAL CENTER, LLC
NPI 1396074753
Family Medicine in Blue Island, IL

Active since December 15, 2009
2310 YORK ST, SUITE 2C, BLUE ISLAND, IL 60406(708) 388-4902 Get Directions Write a Review

NPPES record last updated: August 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sa Padua Medical Center, Llc NPPES

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

SA PADUA MEDICAL CENTER, LLC (NPI 1396074753) is a healthcare organization registered as a family medicine in Blue Island, Illinois and active in the NPI registry since December 2009. The organization lists Jerome Jabbour, President, as its authorized official.

NPPES Registry Identity

NPI1396074753
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSA PADUA MEDICAL CENTER, LLC
Location Address2310 YORK ST, SUITE 2CBlue Island, IL 60406-2411
Mailing Address9201 Calumet AveMunster, IN 46321-2807 · (219) 836-9024 · Fax (219) 836-0034
Phone(708) 388-4902
Organization SubpartNo
Authorized OfficialJerome JabbourPresident · (219) 836-9024
Enumeration DateDecember 15, 2009
Last NPPES UpdateAugust 20, 2010
✔ NPI 1396074753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036119492
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.
2310 YORK ST, Blue Island, IL 60406
Open in Google Maps ↗

Other Identifiers 1

Medicare PINIL3468IL

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

Other Providers at the Same Location NPPES 10

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

RAFIQ AHMED M.D., S.C.
Clinic/Center (Medical Specialty)
2310 YORK ST, SUITE 2B
BLUE ISLAND, IL 60406
Cook County (708) 388-7028
DR. RAFIQ AHMED MD
Internal Medicine (Gastroenterology)
2310 YORK ST, SUITE 2B
BLUE ISLAND, IL 60406
Cook County (708) 388-7028
DR. JEROME ANTOUN JABBOUR MD
Family Medicine
2310 YORK ST, SUITE 2 C
BLUE ISLAND, IL 60406
Cook County (773) 809-3622
DR. GREGORIO M TOLENTINO JR. MD
Radiology (Radiation Oncology)
2310 YORK ST, SUITE M
BLUE ISLAND, IL 60406
Cook County (708) 396-0910
DR. LAURIE SUE GORDON DDS
Dentist (General Practice)
2310 YORK ST, 4B
BLUE ISLAND, IL 60406
Cook County (708) 388-0001
SOUTHERN COOK RADIATION ONCOLOGY LTD
Radiology (Radiation Oncology)
2310 YORK ST, SUITE M
BLUE ISLAND, IL 60406
Cook County (708) 396-0910
NEURODIAGNOSTIC SERVICES LTD
Psychiatry & Neurology (Neurology)
2310 YORK ST, #2C
BLUE ISLAND, IL 60406
Cook County (708) 388-4902
DR. THEODORE G JAMES MD
Family Medicine
2310 YORK ST, STE 2C
BLUE ISLAND, IL 60406
Cook County (708) 388-4903

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 Sa Padua Medical Center, LLC's NPI number?

The NPI number for Sa Padua Medical Center, LLC is 1396074753. It was assigned to this organization in the NPPES registry on December 15, 2009.

Where is Sa Padua Medical Center, LLC located?

Sa Padua Medical Center, LLC is located at 2310 York St Suite 2C, Blue Island, IL 60406. The listed phone number is (708) 388-4902.

What is Sa Padua Medical Center, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sa Padua Medical Center, LLC was last updated on August 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.