Antonio Marra | |
30 E 15th St Ste 205 Chicago Heights IL 60411-3476 | |
(708) 755-4401 | |
Not Available |
Full Name | Antonio Marra |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 30 E 15th St Ste 205, Chicago Heights, Illinois |
Authorized Official Name and Position | Antonio Marra (OWNER) |
Authorized Official Contact | 7087554401 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Antonio Marra 30 E 15th St Ste 205 Chicago Heights IL 60411-3476 Ph: (708) 755-4401 | Antonio Marra 30 E 15th St Ste 205 Chicago Heights IL 60411-3476 Ph: (708) 755-4401 |
NPI Number | 1659777530 |
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Provider Enumeration Date | 11/05/2014 |
Last Update Date | 11/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659777530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 036038919 (Illinois) | Primary |
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