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

Boulevard Pediatrics SC

Organization Pediatrics Physician · NPI 1558445122

Boulevard Pediatrics SC is a Pediatrics Physician in Chicago Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

30 E 15th St Ste 205
Chicago Heights, IL 60411
Phone: (708) 755-4401
Fax: (708) 755-4479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (IL)

Record details

NPI number1558445122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antonio Marra — Owner · (708) 755-4401
NPI enumeratedOctober 24, 2006
Last updated in NPPESAugust 22, 2020
Mailing address30 E 15th Street, Suite 205, Chicago Heights, IL 60411

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