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

Blue Island Medical SC

Organization Chiropractor · NPI 1639890395

Blue Island Medical SC provides Chiropractor services in Blue Island, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

12943 Western Ave
Blue Island, IL 60406-2416
Phone: (773) 278-9525
Fax: (773) 337-9135
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1639890395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eugene Jao — President · (312) 961-6611
NPI enumeratedSeptember 9, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022
Mailing addressPo Box 4782, Chicago, IL 60680-4782

Other providers in Blue Island