Boulevard Pediatrics Sc
NPI 1558445122 · Pediatrics Physician · Chicago Heights, IL
Boulevard Pediatrics Sc is a Pediatrics Physician organization in Chicago Heights, IL (NPI 1558445122).
Provider details
- NPI number
- 1558445122
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Antonio Marra, Owner(708) 755-4401
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Boulevard Pediatrics Sc's NPI number?
- Boulevard Pediatrics Sc's National Provider Identifier (NPI) is 1558445122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boulevard Pediatrics Sc?
- Boulevard Pediatrics Sc is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Boulevard Pediatrics Sc located?
- Boulevard Pediatrics Sc's practice location on file with NPPES is 30 E 15th Street, Chicago Heights, IL 60411.
- What is Boulevard Pediatrics Sc's phone number?
- The practice phone number listed in the NPPES registry for Boulevard Pediatrics Sc is (708) 755-4401.
- Who is the authorized official for Boulevard Pediatrics Sc?
- The authorized official listed on Boulevard Pediatrics Sc's NPPES record is Antonio Marra, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boulevard Pediatrics Sc's NPI active?
- Yes — Boulevard Pediatrics Sc's NPI (1558445122) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.