ANTONIO MARRA NPI 1659777530

NPI Information

NPI: 1659777530
Provider Name: ANTONIO MARRA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
30 E 15TH ST STE 205
CHICAGO HEIGHTS, IL
ZIP 60411
Phone: (708) 755-4401
Get Directions

ANTONIO MARRA is a primary care clinic center in Chicago Heights, IL. ANTONIO MARRA NPI is 1659777530. The provider is registered as an organization entity type.

The provider's business location address is:

30 E 15TH ST STE 205
CHICAGO HEIGHTS, IL
ZIP 60411-476
Phone: (708) 755-4401

The provider's authorized official is Antonio Marra .
The authorized official title is Owner and has the following contact phone number (708) 755-4401.

The enumeration date for this NPI number is 11/5/2014 and was last updated on 11/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	036038919	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »