Boulevard Pediatrics Sc in Chicago Heights - Pediatrics
Boulevard Pediatrics Sc - NPI 1558445122
Boulevard Pediatrics Sc is a Pediatrics in Chicago Heights, Illinois. Boulevard Pediatrics Sc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Boulevard Pediatrics Sc is 1558445122. The last update date is 2020-08-22.
Boulevard Pediatrics Sc's current location address is 30 E 15th Street, Chicago Heights, Illinois. You can contact this provider via phone number 7087554401 and fax number 7087554479. The mailing address for Boulevard Pediatrics Sc is 30 E 15th Street, Chicago Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boulevard Pediatrics Sc |
|---|---|
| Address | 30 E 15th Street, Chicago Heights, Illinois |
| Phone Number | 7087554401 |
| Fax Number | 7087554479 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Marra Antonio |
| Credentials | MD |
| Telephone Number | 7087554401 |
NPI Number Detail
| NPI Number | 1558445122 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 30 E 15th Street |
|---|---|
| City | Chicago Heights |
| State | Illinois (IL) |
| Post Code | 60411 |
| Phone Number | 7087554401 |
| Fax Number | 7087554479 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
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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 |
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Post Comment/ Review Below
What is the unique identifier code issued to Boulevard Pediatrics Sc by the Centers for Medicare & Medicaid Services?
The Boulevard Pediatrics Sc has been assigned the NPI (National Provider Identifier) 1558445122. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Boulevard Pediatrics Sc's facilities are geographically located?
The facilities of Boulevard Pediatrics Sc are physically situated at the following location: 30 E 15Th Street, Chicago Heights, IL, 60411.
What is Boulevard Pediatrics Sc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Boulevard Pediatrics Sc is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558445122 to Boulevard Pediatrics Sc?
The Boulevard Pediatrics Sc received its 1558445122 assignment from the Centers for Medicare & Medicaid Services on 2006-10-24.
As of what date was the information pertaining to Boulevard Pediatrics Sc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Boulevard Pediatrics Sc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.