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

Sa Padua Medical Center, LLC

Organization Family Medicine Physician · NPI 1396074753

Sa Padua Medical Center, LLC provides Family Medicine Physician services in Blue Island, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2310 York St Ste 2C
Blue Island, IL 60406-2411 Not confirmed with CMS for 16 years — call before visiting
Phone: (708) 388-4902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036119492 (IL)

Record details

NPI number1396074753
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerome Jabbour — President · (219) 836-9024
NPI enumeratedDecember 15, 2009
Last updated in NPPESAugust 20, 2010
Mailing address9201 Calumet Ave, Munster, IN 46321-2807

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