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BLUE ISLAND TRADITIONAL MEDICINE LLC NPI 1386144665


NPI Information

NPI: 1386144665
Provider Name: BLUE ISLAND TRADITIONAL MEDICINE, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1843 S RACINE AVE
CHICAGO, IL
ZIP 60608
Phone: (773) 332-9438
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BLUE ISLAND TRADITIONAL MEDICINE, LLC is a chiropractor in Chicago, IL. The provider is 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. BLUE ISLAND TRADITIONAL MEDICINE, LLC NPI is 1386144665. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1843 S RACINE AVE
CHICAGO, IL
ZIP 60608-213
Phone: (773) 332-9438

The provider's authorized official is Beatrice Scescke .
The authorized official title is Owner and has the following contact phone number (312) 291-8298.

The enumeration date for this NPI number is 2/13/2018 and was last updated on 6/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturist1980011282ILLINOISNo
2225700000XMassage Therapist227014734ILLINOISNo
3111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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