NPI 1902170848 · live from the CMS NPI Registry
Blue Island Hbp Medical Group LLC
Hospitalist in Blue Island, IL. National Provider Identifier 1902170848, active.
NPI record
| NPI | 1902170848 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospitalist 208M00000X |
| Practice location | 12935 Gregory St, Blue Island, IL 60406 |
| Practice phone | 708-597-2000 |
| Mailing address | Po Box 689022, Franklin, TN 37068 |
| Enumerated | February 23, 2012 |
| Last updated | February 23, 2012 |
| Authorized official | Debbie Brewer, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | — |
| Obstetrics & Gynecology | 207V00000X | — |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | — |
| Hospitalist primary | 208M00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.