Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boulevard Medical Associates, SC

Organization Legal Medicine · NPI 1982752911

Boulevard Medical Associates, SC is a Legal Medicine in Chicago Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

30 E 15th St Ste 202
Chicago Heights, IL 60411-3459
Phone: (708) 754-7777
Fax: (708) 754-7701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X (IL)

Record details

NPI number1982752911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Savio Manatt — President · (708) 754-7777
NPI enumeratedJanuary 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address30 E 15th St, Suite 202, Chicago Heights, IL 60411-3459

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