OrganizationActive
Antonio Marra
NPI 1659777530 · Primary Care Clinic/Center · Chicago Heights, IL
Provider details
- NPI number
- 1659777530
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Antonio Marra, Owner(708) 755-4401
- License
- 036038919 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
30 E 15th St Ste 205
Chicago Heights, IL 60411-3476
Phone: (708) 755-4401
Approximate (ZIP-level) locationGet directions
Mailing address
30 E 15th St Ste 205
Chicago Heights, IL 60411-3476
Registry dates
- Enumerated
- 2014-11-05
- Last updated
- 2014-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.