Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blue Island Medical Group

Organization Pediatrics Physician · NPI 1699075804

Blue Island Medical Group provides Pediatrics Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
Specialties on file
2

Practice location Address checks out

1802 W Chicago Ave Ste 2
Chicago, IL 60622 Not confirmed with CMS for 15 years — call before visiting
Phone: (773) 278-2998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 036090820 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036090820 (IL)

Record details

NPI number1699075804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hector Flores — President · (773) 278-2998
NPI enumeratedOctober 22, 2010
Last updated in NPPESOctober 22, 2010
Mailing address1802 W Chicago Ave, Suite 2, Chicago, IL 60622

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