Blue Island Smiles Pc

Specialty details in registry · Blue Island, IL

Directions

At a glance

12059 Western Avenue, Blue Island, IL 60406

NPPES record updated Aug 24, 2020. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

12059 Western Avenue
Blue Island, IL 60406
Professional details: NPI, taxonomy & registry record
NPI1942842810
Directions

Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223G0001X
Enumeration date
Oct 12, 2019
Record updated
Aug 24, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

1223G0001X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12059 Western Avenue
Blue Island, IL 60406
Phone
Not reported
Mailing address
12059 WESTERN AVE

BLUE ISLAND, IL 604061162
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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