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BOULEVARD PEDIATRICS SC
NPI 1558445122
Pediatrics in Chicago Heights, IL

Active since October 24, 2006
30 E 15TH STREET, SUITE 205, CHICAGO HEIGHTS, IL 60411(708) 755-4401(708) 755-4479 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boulevard Pediatrics Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOULEVARD PEDIATRICS SC (NPI 1558445122) is a healthcare organization registered as a pediatrics in Chicago Heights, Illinois and active in the NPI registry since October 2006. The organization lists Antonio Marra, Owner, as its authorized official.

NPPES Registry Identity

NPI1558445122
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBOULEVARD PEDIATRICS SC
Location Address30 E 15TH STREET, SUITE 205Chicago Heights, IL 60411
Mailing Address30 E 15th Street, Suite 205Chicago Heights, IL 60411 · (708) 755-4401 · Fax (708) 755-4479
Phone(708) 755-4401
Fax(708) 755-4479
Organization SubpartNo
Authorized OfficialAntonio MarraOwner · (708) 755-4401
Enumeration DateOctober 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1558445122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
30 E 15TH STREET, Chicago Heights, IL 60411
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CLIFTON JOSEPH WARD JR. MD
Internal Medicine
30 E 15TH STREET, SUITE 100
CHICAGO HEIGHTS, IL 60411
Cook County (708) 709-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boulevard Pediatrics Sc's NPI number?

The NPI number for Boulevard Pediatrics Sc is 1558445122. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Boulevard Pediatrics Sc located?

Boulevard Pediatrics Sc is located at 30 E 15th Street Suite 205, Chicago Heights, IL 60411. The listed phone number is (708) 755-4401.

What is Boulevard Pediatrics Sc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Boulevard Pediatrics Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.