Marra, Antonio

Marra, Antonio is an sole proprietor health care provider with primary practice located at 30 E 15Th St Ste 205 , Chicago Heights IL 60411-3476. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Marra, Antonio can be contacted via phone (708) 755-4401.

Contact Information

Primary practice address
30 E 15Th St Ste 205 Chicago Heights IL 60411-3476
Phone: (708) 755-4401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036038919 Illinois

Profile Details

NPI number 1225435225
LBN Legal business name Marra, Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2014
Last updated Nov 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225435225 NPPES
Illinois MEDICAID 036038919

Popular Providers