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EMERGENCY MEDICINE PHYSICIANS OF BLUE ISLAND, LLC
NPI 1922465012
Emergency Medicine in Blue Island, IL

Active since January 21, 2016
12935 SOUTH GREGORY ST, BLUE ISLAND, IL 60406(330) 493-4443 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 21, 2018, Feb 4, 2016, Jan 21, 2016 (3 updates tracked since 2016).

About Emergency Medicine Physicians Of Blue Island, Llc NPPES

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

EMERGENCY MEDICINE PHYSICIANS OF BLUE ISLAND, LLC (NPI 1922465012) is a healthcare organization registered as an emergency medicine in Blue Island, Illinois and active in the NPI registry since January 2016. The organization lists David C Packo, President, as its authorized official.

NPPES Registry Identity

NPI1922465012
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameEMERGENCY MEDICINE PHYSICIANS OF BLUE ISLAND, LLC
Location Address12935 SOUTH GREGORY STBlue Island, IL 60406-2428
Mailing Address4535 Dressler Rd NwCanton, OH 44718-2545 · (330) 493-4443 · Fax (330) 493-8677
Phone(330) 493-4443
Organization SubpartNo
Authorized OfficialDavid C PackoPresident · (330) 493-4443
Enumeration DateJanuary 21, 2016
Last NPPES UpdateAugust 21, 20183 updates tracked since enumeration
✔ NPI 1922465012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
12935 SOUTH GREGORY ST, Blue Island, IL 60406
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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

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 Emergency Medicine Physicians Of Blue Island, LLC's NPI number?

The NPI number for Emergency Medicine Physicians Of Blue Island, LLC is 1922465012. It was assigned to this organization in the NPPES registry on January 21, 2016.

Where is Emergency Medicine Physicians Of Blue Island, LLC located?

Emergency Medicine Physicians Of Blue Island, LLC is located at 12935 South Gregory St, Blue Island, IL 60406. The listed phone number is (330) 493-4443.

What is Emergency Medicine Physicians Of Blue Island, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Emergency Medicine Physicians Of Blue Island, LLC was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.