Boulevard Medical Associates, Sc

LBN: Boulevard Medical Associates, Sc
Boulevard Medical Associates, Sc is an health care organization with primary practice located at 30 E 15Th St Suite 202, Chicago Heights IL 60411-3459. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Boulevard Medical Associates, Sc can be contacted via phone (708) 754-7777, or through Manatt, Savio via phone (708) 754-7777.

Contact Information

Primary practice address
30 E 15Th St Suite 202 Chicago Heights IL 60411-3459
Phone: (708) 754-7777
Fax: (708) 754-7701
Website:
Map and Directions
Authorized official contact:
Name: Manatt, Savio Doctor of Medicine (MD)
Phone: (708) 754-7777

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X Illinois

Profile Details

NPI number 1982752911
LBN Legal business name Boulevard Medical Associates, Sc
DBA Doing business as
Authorized official Manatt, Savio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982752911 NPPES
Illinois Other 01623866 BLUE CROSS BLUE SHIELD

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