OrganizationActive
Blue Island Medical Group
NPI 1699075804 · General Practice Physician · Chicago, IL
Provider details
- NPI number
- 1699075804
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hector Flores, President(773) 278-2998
- License
- 036090820 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1802 W Chicago Ave
Suite 2
Chicago, IL 60622
Phone: (773) 278-2998
Approximate (ZIP-level) locationGet directions
Mailing address
1802 W Chicago Ave
Chicago, IL 60622
Registry dates
- Enumerated
- 2010-10-22
- Last updated
- 2010-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.