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

BLUE ISLAND MEDICAL SC
NPI 1639890395
Chiropractor in Blue Island, IL

Active since September 09, 2022
12943 WESTERN AVE, BLUE ISLAND, IL 60406(773) 278-9525(773) 337-9135 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 26, 2022, Sep 9, 2022 (2 updates tracked since 2022).

About Blue Island Medical Sc NPPES

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

BLUE ISLAND MEDICAL SC (NPI 1639890395) is a healthcare organization registered as a chiropractor in Blue Island, Illinois and active in the NPI registry since September 2022. The organization lists Eugene M Jao, President, as its authorized official.

NPPES Registry Identity

NPI1639890395
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBLUE ISLAND MEDICAL SC
Location Address12943 WESTERN AVEBlue Island, IL 60406-2416
Mailing AddressPo Box 4782Chicago, IL 60680-4782 · (773) 273-9525 · Fax (773) 337-9135
Phone(773) 278-9525
Fax(773) 337-9135
Organization SubpartNo
Authorized OfficialEugene M JaoPresident · (312) 961-6611
Enumeration DateSeptember 9, 2022
Last NPPES UpdateSeptember 26, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
✔ NPI 1639890395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
12943 WESTERN AVE, Blue Island, IL 60406
Open in Google Maps ↗

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

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 Island Medical Sc's NPI number?

The NPI number for Blue Island Medical Sc is 1639890395. It was assigned to this organization in the NPPES registry on September 9, 2022.

Where is Blue Island Medical Sc located?

Blue Island Medical Sc is located at 12943 Western Ave, Blue Island, IL 60406. The listed phone number is (773) 278-9525.

What is Blue Island Medical Sc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Blue Island Medical Sc was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.