BLUE ISLAND CLINIC COMPANY LLC
NPI 1609148139
Internal Medicine in Blue Island, IL

NPI Status: Active since January 30, 2012

Contact Information

12935 GREGORY ST
BLUE ISLAND, IL
ZIP 60406
Phone: (708) 597-2000
Fax: (708) 824-4494

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Internal Medicine

About BLUE ISLAND CLINIC COMPANY LLC

This page provides the complete NPI Profile along with additional information for Blue Island Clinic Company Llc, an internist established in Blue Island, Illinois operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1609148139 assigned on January 2012. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Blue Island Clinic Company Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Debbie T Brewer (Director)

NPI: 1609148139
Provider Name: BLUE ISLAND CLINIC COMPANY LLC
Entity Type: Organization
Location Address: 12935 GREGORY ST BLUE ISLAND, IL 60406
Location Phone: (708) 597-2000
Location Fax: (708) 824-4494
Mailing Address: PO BOX 689022 FRANKLIN, TN 37068
Mailing Phone: (615) 465-7632
Mailing Fax: (708) 824-4494
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-30-2012
Last Update Date: 01-30-2012
Code Navigator

An internist like Blue Island Clinic Company Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Internal Medicine
Taxonomy Code: 207R00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine
2	207V00000X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology
3	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant
4	367A00000X	Physician Assistants & Advanced Practice Nursing Providers	Advanced Practice Midwife

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DEBBIE T BREWER
Authorized Official Title: DIRECTOR
Authorized Official Phone: (615) 465-7626

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	0	9	1	4	8	1	3	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	0	9	2	4	16	1	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 2 + 4 + 1 + 6 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1609148139 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

SSM REGIONAL HEALTH SERVICES OWNING AND OPERATING ST FRANCIS HOSPITAL

General Acute Care Hospital

12935 GREGORY ST
ADMINISTRATION
BLUE ISLAND, IL
ZIP 60406

About BLUE ISLAND CLINIC COMPANY LLC

Location Map

Specialty - Primary Taxonomy

Internal Medicine

Secondary Taxonomies

Family Medicine

Obstetrics & Gynecology

Physician Assistant

Advanced Practice Midwife

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

Authorized Official

DEBBIE T BREWER

Reviews for BLUE ISLAND CLINIC COMPANY LLC

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is BLUE ISLAND CLINIC COMPANY LLC's NPI number?

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