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Blue Island Clinic Company LLC

Internal Medicine Physician in Blue Island, IL · enumerated 2012 · authorized official Debbie Brewer, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609148139

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Island Clinic Company LLC
Practice address 12935 Gregory St, Blue Island, IL, 60406
Fax (708) 824-4494
Enumeration date Jan 30, 2012
Last updated in NPPES Jan 30, 2012

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
367A00000X Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Debbie Brewer
Title Director

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Blue Island Clinic Company LLC?
Blue Island Clinic Company LLC is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-01-30.