Emergency Medicine Physicians of Blue Island, LLC

NPI #1922465012 in Blue Island, Illinois

Provider Information

NPI Number: 1922465012
Entity Type: Organization
Organization Name: Emergency Medicine Physicians of Blue Island, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 21, 2016
Last Updated: Aug 21, 2018

Practice Location

Address: 12935 SOUTH GREGORY ST
City: Blue Island
State: Illinois
ZIP Code: 60406-2428
Phone: (330) 493-4443

Authorized Official

Name: DAVID C PACKO, MD
Title: PRESIDENT
Phone: (330) 493-4443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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