Boulevard Pediatrics Sc

LBN: Boulevard Pediatrics Sc
Boulevard Pediatrics Sc is an health care organization with primary practice located at 30 E 15Th Street Suite 205, Chicago Heights IL 60411. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Boulevard Pediatrics Sc can be contacted via phone (708) 755-4401, or through Marra, Antonio via phone (708) 755-4401.

Contact Information

Primary practice address
30 E 15Th Street Suite 205 Chicago Heights IL 60411
Phone: (708) 755-4401
Fax: (708) 755-4479
Website:
Map and Directions
Authorized official contact:
Name: Marra, Antonio Doctor of Medicine (MD)
Phone: (708) 755-4401

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois

Profile Details

NPI number 1558445122
LBN Legal business name Boulevard Pediatrics Sc
DBA Doing business as
Authorized official Marra, Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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