| NPI | 1184158354 |
|---|---|
| Doing Business As | LOC #1: BLUE ISLAND |
| Entity Type | Organization |
| Authorized Contact | MILAP SHAH Owner/Administrator 708-631-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |