BOULEVARD PEDIATRICS SC – NPI #1558445122
Pediatrics

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.

BOULEVARD PEDIATRICS SC is a provider located in CHICAGO HEIGHTS, IL. NPPES has assigned the NPI number 1558445122 to BOULEVARD PEDIATRICS SC on October 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOULEVARD PEDIATRICS SC below.

NPI Profile for
BOULEVARD PEDIATRICS SC

NPI Number
1558445122
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOULEVARD PEDIATRICS SC
Primary location
30 E 15TH STREET
SUITE 205
CHICAGO HEIGHTS, IL 60411
Phone: (708) 755-4401 Fax: (708) 755-4479
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANTONIO MARRA
OWNER
Phone: (708) 755-4401
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.