BLUE ISLAND MEDICAL GROUP
NPI 1699075804
General Practice in Chicago, IL

Active since October 22, 2010
1802 W CHICAGO AVE, SUITE 2, CHICAGO, IL 60622(773) 278-2998 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Island Medical Group NPPES

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

BLUE ISLAND MEDICAL GROUP (NPI 1699075804) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since October 2010. The organization lists Hector Luis Flores, President, as its authorized official.

NPPES Registry Identity

NPI1699075804
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBLUE ISLAND MEDICAL GROUP
Location Address1802 W CHICAGO AVE, SUITE 2Chicago, IL 60622
Mailing Address1802 W Chicago Ave, Suite 2Chicago, IL 60622 · (773) 278-2998
Organization SubpartNo
Authorized OfficialHector Luis FloresPresident · (773) 278-2998
Enumeration DateOctober 22, 2010
NPI 1699075804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in IL · 036090820
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPediatricsTaxonomy 208000000X · License 036090820 (IL)
1802 W CHICAGO AVE, Chicago, IL 60622

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Podiatrist (Foot & Ankle Surgery)
1802 W CHICAGO AVE, SUITE 8
CHICAGO, IL 60622
Clinic/Center
1802 W CHICAGO AVE
CHICAGO, IL 60622
General Practice
1802 W CHICAGO AVE, SUITE 2
CHICAGO, IL 60622
Clinic/Center (Dental)
1802 W CHICAGO AVE, SUIT 6
CHICAGO, IL 60622
Clinic/Center (Dental)
1802 W CHICAGO AVE
CHICAGO, IL 60622
Dentist
1802 W CHICAGO AVE
CHICAGO, IL 60622

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 Group's NPI number?

The NPI number for Blue Island Medical Group is 1699075804. It was assigned to this organization in the NPPES registry on October 22, 2010.

Where is Blue Island Medical Group located?

Blue Island Medical Group is located at 1802 W Chicago Ave Suite 2, Chicago, IL 60622. The listed phone number is (773) 278-2998.

What is Blue Island Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Blue Island Medical Group was last updated on October 22, 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.