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EMERGENCY MEDICINE PHYSICIANS OF BLUE ISLAND LLC NPI 1922465012


NPI Information

NPI: 1922465012
Provider Name: EMERGENCY MEDICINE PHYSICIANS OF BLUE ISLAND, LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
12935 SOUTH GREGORY ST
BLUE ISLAND, IL
ZIP 60406
Phone: (330) 493-4443
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EMERGENCY MEDICINE PHYSICIANS OF BLUE ISLAND, LLC is an emergency medicine in Blue Island, IL. The provider is 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. EMERGENCY MEDICINE PHYSICIANS OF BLUE ISLAND, LLC NPI is 1922465012. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12935 SOUTH GREGORY ST
BLUE ISLAND, IL
ZIP 60406-428
Phone: (330) 493-4443

The provider's authorized official is David C Packo .
The authorized official title is President and has the following contact phone number (330) 493-4443.

The enumeration date for this NPI number is 1/21/2016 and was last updated on 8/21/2018.


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
1207P00000XEmergency MedicineYes

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: 11/14/2023

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