# BLUE LINE MEDICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306676234
- **Authorized official:** LOUIS MARK LUNA DC, NP (OWNER)
- **Authorized official phone:** (773) 619-3611

## Contact information

- **Practice address:** 5440 N CUMBERLAND AVE, CHICAGO, IL 60656-1490
- **Practice address phone:** (773) 619-3611
- **Mailing address:** 5440 N CUMBERLAND AVE, CHICAGO, IL 60656-1490
- **Mailing address phone:** (773) 619-3611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2024
- **Last updated:** 08/05/2024